Angelique Davis-Williams, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C5-0000816 Issued in DE

Practice address

4701 Ogletown Stanton Rd
Suite 2131
Newark, DE 19713-2055

Phone

(302) 266-7800

Fax

(302) 266-7851

NPI assigned

Mar 5, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christianacare Homehealth Home health agency, Wilmington, DE, CCN 087002
• Christiana Hospital Hospital, Newark, DE, CCN 080001

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Christiana Care Health Services Inc

  dba CCHS Wilm Health Ctr

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1760811681
  Medicare reassignment Care Compare group NPD
• Ambient Medical Care, LLC

  dba Ambient Care

  • Urgent Care Clinic/Center
  • Seaford, DE
  • NPI 1053583559
  Medicare reassignment NPD
• Center for Interventional Pain Spine LLC

  • Interventional Pain Medicine Physician
  • Middletown, DE
  • NPI 1144527003
  Medicare reassignment NPD
• Ambient Medical Care, LLC

  dba Ambient Care Express

  • Urgent Care Clinic/Center
  • Harrington, DE
  • NPI 1063864080
  NPD
• Christiana Care Health Services, Inc

  dba CCHS Satellite Offices

  • Family Medicine Physician
  • Hockessin, DE
  • NPI 1134104565

  Physician Assistant

  NPD
• Ambient Medical Care, LLC

  • Urgent Care Clinic/Center
  • Richmond, VA
  • NPI 1447947031
  NPD
• Center for Interventional Pain Spine LLC

  • Durable Medical Equipment & Medical Supplies
  • Elkton, MD
  • NPI 1447906706
  NPD
• Christiana Care Health Services Inc

  dba CCHS Concord - Neurology

  • Neurology Physician
  • Chadds Ford, PA
  • NPI 1881228484
  NPD

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

• Christiana Care Home Health and Community Services, Inc.

  dba Christiana Care Visiting Nurse Association

  • Home Health Agency
  • Wilmington, DE
  • NPI 1437152154
  Care Compare affiliation Name & address match
• Christiana Care Health Services, Inc.

  dba Christiana Care

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038
  Care Compare affiliation

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1437490158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 BRANDYWINE PKWY",
            "address_2": "STE#202",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198031554",
            "telephone_number": "302-477-1706",
            "fax_number": "302-477-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 OGLETOWN STANTON RD",
            "address_2": "SUITE 2131",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132055",
            "telephone_number": "302-266-7800",
            "fax_number": "302-266-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-WILLIAMS",
        "first_name": "ANGELIQUE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LICENSE",
            "identifier": "C5-0000816",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David D Zabel M.D., P.a
• David S. Grubbs, M.D., P.a.
• Rochelle Davidson
• Angela D Davis Brown, M.D.
• Tiana L Davis-Sasu
• Allison L Davis, CRNA
• Debra Jean Davis, M.D.
• Fern Spellman Davis, LCSW
• Jenai Davis, LPCMH
• Jennifer Davis

• Physician Assistant in Newark, DE
• Providers in Newark, DE by specialty
• Physician Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.