Individual provider Active NPI

Amanda Williams, M.D.

  • Obstetrics & Gynecology Physician
  • Bossier City, LA
National Provider Identifier
1629289657
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD.201611 Issued in LA
Practice address
2400 Hospital Dr Ste 400
Bossier City, LA 71111-2401
Phone
(318) 212-7973
Fax
(318) 212-7836
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD.201611 LA Primary

Addresses

Primary practice location

2400 Hospital Dr Ste 400
Bossier City, LA 71111-2401

Mailing address

2449 Hospital Dr Ste 260
Bossier City, LA 71111-1909
Phone (318) 212-7840

Other practice location 1

2449 Hospital Dr Ste 260
Bossier City, LA 71111-1909
Phone (318) 212-7840

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.mettles.com/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20110209000354 LA Practitioner - Obstetrics/Gynecology 0749460780 Reassigns benefits to 2 organizations
I20180727001006 TX Practitioner - Obstetrics/Gynecology 0749460780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in Shreveport, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Bossier OB-GYNGroup PAC ID 5597788018, 6 clinicians
Obhg Louisiana LLCGroup PAC ID 9234443250, 20 clinicians

Practice addresses (Care Compare)

2449 Hospital Dr
Suite 260
Bossier City, LA 71111-2399
Phone (318) 212-7840

2510 Bert Kouns Industrial Loop
Shreveport, LA 71118-3119
Phone (800) 967-2289

Hospital & facility affiliations

  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
  • Minden Medical Center Hospital, Minden, LA, CCN 190144

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.201611LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Louisiana, LLC Obstetrics & Gynecology CurrentSince Oct 1, 2023 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince May 25, 2018 Accepting new patients
WK Bossier OB-GYN Obstetrics & Gynecology CurrentSince Apr 1, 2025 Accepting new patients
L Gregory Blanton MD and Willis Knighton Medical Ctr Obstetrics & Gynecology Current Accepting new patients
The Women'S Clinic, a Medical Corporation PastSince Jul 19, 2010 Accepting new patients
Willis Knighton Medical Center, Inc. Past Accepting new patients

Locations

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

2449 Hospital Dr
Ste 260
Bossier City, LA 71111
Phone (318) 212-7840

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042

2510 Bert Kouns Industrial Loop
Shreveport, LA 71118
Phone (318) 212-5000

1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946

10 Centimeters Dr
Mauldin, SC 29662
Phone (800) 867-2289

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3681/brand/10/csg/202/fhir/r4
  • Direct secure messaging: awilliams0@direct.wkhs.com
  • Direct secure messaging: williams_dr_amanda@yourcarecommunity.org

Organizations & group practices 6

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 5

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1629289657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 HOSPITAL DR STE 260",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711111909",
            "telephone_number": "318-212-7840",
            "fax_number": "318-212-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL DR STE 400",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112401",
            "telephone_number": "318-212-7973",
            "fax_number": "318-212-7836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2449 Hospital Dr Ste 260",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711111909",
            "country_code": "US",
            "telephone_number": "318-212-7840",
            "fax_number": "318-212-7845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AMANDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "MD.201611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.