Individual provider Active NPI

Amanda Jayne Williams, MD

  • Anesthesiology Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1174187207
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME165858 Issued in FL
Practice address
3360 Burns Rd
Palm Beach Gardens, FL 33410-4323
Phone
(999) 999-9999
NPI assigned
Apr 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101270391 VA
Anesthesiology Physician 207L00000X FW4093314 WI
Anesthesiology Physician 207L00000X ME165858 FL Primary

Addresses

Primary practice location

3360 Burns Rd
Palm Beach Gardens, FL 33410-4323

Mailing address

3360 Burns Rd
Palm Beach Gardens, FL 33410-4323

Other practice location 1

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 853-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI, VA, DC4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240506003814 FL Practitioner - Anesthesiology 9638404833 Reassigns benefits to 1 organization
I20240626001027 WI Practitioner - Anesthesiology 9638404833 Reassigns benefits to 1 organization
I20240710001650 VA Practitioner - Anesthesiology 9638404833 Reassigns benefits to 3 organizations
I20250520004076 DC Practitioner - Anesthesiology 9638404833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Professional Services LLCGroup PAC ID 2163323999, 86 clinicians
PBG Team Anesthesia PAGroup PAC ID 5092856757, 46 clinicians

Practice addresses (Care Compare)

180 Floyd Ave
Rocky Mount, VA 24151-1318
Phone (540) 489-6353

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 853-0222

3360 Burns Rd
Palm Beach Gardens, FL 33410-4323
Phone (800) 694-7225

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME165858FLMDAnesthesiology Physician
0101270391VAMDAnesthesiology Physician
FW4093314WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Virginia, PC Anesthesiology CurrentSince May 25, 2025 Accepting new patients
American Anesthesiology of Virginia PC Anesthesiology CurrentSince May 25, 2025 Accepting new patients
Northstar Anesthesia of Virginia, LLC Anesthesiology CurrentSince Feb 17, 2025 Accepting new patients
Midwest Physicians Anesthesia Service, SC Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients
Carilion Professional Services LLC CurrentSince Dec 2, 2024 Accepting new patients
Vituity-Wisconsin Anesthesia SC Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients
PBG Team Anesthesia PA Anesthesiology CurrentSince Aug 1, 2025 Accepting new patients
Vituity-Wisconsin Anesthesia SC Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients

Locations

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 500-1254

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

180 Floyd Ave
Rocky Mount, VA 24151
Phone (540) 483-5277

6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300

Bin 88871
Milwaukee, WI 53288

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

Interoperability endpoints

  • Direct secure messaging: awilliams826147@direct.froedtert.com

Organizations & group practices 8

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1174187207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 BURNS RD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 BURNS RD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104323",
            "telephone_number": "999-999-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1906 Belleview Ave SE",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240141838",
            "country_code": "US",
            "telephone_number": "540-853-0222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AMANDA",
        "middle_name": "JAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101270391",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "FW4093314",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME165858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.