Active NPI
Mia F Williams, PA
- Physician Assistant
- Groton, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1145 Poquonnock Rd
Groton, CT 06340-4620 - Phone
- (855) 700-8184
- NPI assigned
- Feb 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1145 Poquonnock Rd
Groton, CT 06340-4620
Mailing address
415 W Golf Rd Ste 26
Arlington Heights, IL 60005-3923
Phone (855) 700-8184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helar Campos MD & Associates Family Medical Center, LLC | Current | Accepting new patients | |
| Comprehensive Rehab Consultants PLLC | Current | Accepting new patients | |
| Hartford Physician Services PC | Physician Assistant | Past | Accepting new patients |
Locations
1145 Poquonnock Rd
Groton, CT 06340
Phone (860) 446-3134
435 Montauk Ave
New London, CT 06320
Phone (860) 443-1136
196 Parkway S
Ste 304
Waterford, CT 06385
1 Emily Way
West Hartfrd, CT 06107
Phone (860) 561-7022
415 W Golf Rd
Ste 26
Arlington Hts, IL 60005
Organizations & group practices 5
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.
-
- Family Medicine Physician
- New London, CT
- NPI 1760606602
-
dba Comprehensive Rehab Consultants LLC
- Physical Medicine & Rehabilitation Physician
- Middle River, MD
- NPI 1710529771
CT
-
- Urgent Care Clinic/Center
- Avon, CT
- NPI 1093239683
-
- Family Medicine Physician
- Farmington, CT
- NPI 1720194053
-
dba Hartford Medical Group
- Internal Medicine Physician
- Hartford, CT
- NPI 1164404117
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1598731572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 W GOLF RD STE 26",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600053923",
"telephone_number": "855-700-8184",
"fax_number": "224-633-1935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 POQUONNOCK RD",
"city": "GROTON",
"state": "CT",
"postal_code": "063404620",
"telephone_number": "855-700-8184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MIA",
"middle_name": "F",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-28",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Groton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.