Clara Alexis Harbin Williams, MPAS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00792 Issued in MS

Practice address

5935 Washington Ave Ste a
Ocean Springs, MS 39564-2680

Phone

(228) 215-0669

NPI assigned

Mar 7, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Dermatology and Skin Cancer Center PLLCGroup PAC ID 9133357015, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: ahwilliams1@premierdermandskin.emadirect.md
• Direct secure messaging: charbin@direct.mysrhs.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Dermatology and Skin Cancer Center, PLLC

  • Dermatology Physician
  • Ocean Springs, MS
  • NPI 1942637772
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1144088899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 GRANT AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395677223",
            "telephone_number": "228-218-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5935 WASHINGTON AVE STE A",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395642680",
            "telephone_number": "228-215-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CLARA",
        "middle_name": "ALEXIS HARBIN",
        "name_prefix": "Mrs.",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PA00792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Grant Whigham
• Marissa Rae White, NP
• Raven Jean White, RBT
• Jessica Wilder, WHNP
• Amy E Wilkinson, M.ED., LPC
• Clarence Williams
• Emily Jamison Williams
• Heather Williams, WHNP
• Jason A Williams, M.D.
• Jeanette Williams

• Physician Assistant in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Physician Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.