Individual provider Active NPI

Mandy Williams, AU.D.

  • Audiologist
  • Richmond, VA
National Provider Identifier
1184172256
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201001635 Issued in VA
Practice address
4801 Radford Ave Ste a
Richmond, VA 23230-3541
Phone
(804) 215-0001
Fax
(434) 299-8892
NPI assigned
Sep 16, 2016
Last updated
Aug 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2201001635 VA Primary

Addresses

Primary practice location

4801 Radford Ave Ste a
Richmond, VA 23230-3541

Mailing address

4801 Radford Ave Ste a
Richmond, VA 23230-3541
Phone (804) 215-0001

Other practice location 1

1708 Fall Hill Ave
Suite 200
Fredericksburg, VA 22401-3511
Phone (540) 371-1263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161205001608 VA Practitioner - Qualified Audiologist 4082994272 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

1001 E Leigh St
Richmond, VA 23298-5004
Phone (804) 828-7929

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2201001635VAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians CurrentSince Apr 3, 2022 Accepting new patients
Commonwealth Ear, Nose & Throat Specialists PC CurrentSince Jan 1, 2022 Accepting new patients
Koch Hearing LLC Audiologist CurrentSince Jun 28, 2021 Accepting new patients
Vcu Oral-Facial Surgery and Services LLC PastSince Apr 3, 2022 Accepting new patients

Locations

2297 Seminole Ln
Charlottesvle, VA 22901
Phone (434) 227-4100

1 Park West Cir
Ste 200
Midlothian, VA 23114
Phone (804) 378-7443

14051 St Francis Blvd
Ste 2211
Midlothian, VA 23114
Phone (804) 378-7443

1000 E Broad St
Richmond, VA 23219

1001 E Leigh St
Richmond, VA 23298
Phone (804) 628-7497

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

4801 Radford Ave
Ste A
Richmond, VA 23230
Phone (804) 215-0001

Organizations & group practices 4

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.

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": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1184172256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 RADFORD AVE STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303541",
            "telephone_number": "804-215-0001",
            "fax_number": "434-299-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 RADFORD AVE STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303541",
            "telephone_number": "804-215-0001",
            "fax_number": "434-299-8892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1708 Fall Hill Ave",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224013511",
            "country_code": "US",
            "telephone_number": "540-371-1263",
            "fax_number": "540-374-5071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MANDY",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.