Individual provider Active NPI

Anastasia L Williams, MD

  • Pediatrics Physician
  • Gainesville, VA
National Provider Identifier
1346201126
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101230823 Issued in VA
Practice address
8180 Stonewall Shops SQ
Gainesville, VA 20155-3891
Phone
(703) 365-0227
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101230823 VA Primary

Addresses

Primary practice location

8180 Stonewall Shops SQ
Gainesville, VA 20155-3891

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (844) 266-8268

Other practice location 1

9340 Forestwood Lane
Suite 100
Manassas, VA 20110-5198
Phone (703) 365-0227

Other practice location 2

8180 Stonewall Shops Sq
Gainesville, VA 20155
Phone (703) 365-0227

Other identifiers 11

IdentifierTypeStateIssuer
10231464OtherVAAMERIGROUP
234900OtherKAISER
283358OtherAMERIGROUP
010057485MedicaidVA
104124OtherANTHEM HEALTHKEEPERS
8121798OtherMAMSI OPTIMUM CHOICEMDIPA
8121798OtherVAALLIANCE
2616290OtherAETNA HMO POS
7137266OtherVAAETNA PPO
104124OtherANTHEM BCBC
J76300001OtherCAREFIRST

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address awilliams679839@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160822001301 VA Practitioner - Pediatric Medicine 3779878368 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101230823VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Jul 22, 2016 Accepting new patients
Uva Community Health Medical Group, LLC Pediatrics CurrentSince Aug 4, 2020 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Aug 4, 2020 Accepting new patients
Privia Medical Group, LLC Pediatrics CurrentSince Jul 22, 2016 Accepting new patients

Locations

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

8180 Stonewall Shops Sq
Gainesville, VA 20155
Phone (703) 365-0227

9430 Forestwood Ln
Ste 100
Manassas, VA 20110
Phone (571) 284-1430

8644 Sudley Rd
#220
Manassas, VA 20110

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: anastasia.williams.1@32113.direct.athenahealth.com
  • Direct secure messaging: awilliams679839@direct.novanthealth.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1346201126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "844-266-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 STONEWALL SHOPS SQ",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553891",
            "telephone_number": "703-365-0227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9340 Forestwood Lane",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201105198",
            "country_code": "US",
            "telephone_number": "703-365-0227",
            "fax_number": "703-365-0332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8180 Stonewall Shops Sq",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "VA",
            "postal_code": "20155",
            "country_code": "US",
            "telephone_number": "703-365-0227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANASTASIA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101230823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10231464",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "234900",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "283358",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010057485",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HEALTHKEEPERS",
            "identifier": "104124",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI OPTIMUM CHOICEMDIPA",
            "identifier": "8121798",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "8121798",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO POS",
            "identifier": "2616290",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7137266",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBC",
            "identifier": "104124",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "J76300001",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awilliams679839@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "8180 Stonewall Shops Sq",
            "city": "Gainesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "20155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

Verify at the official NPI Registry.