Individual provider Active NPI

Gena Nicole Williams, PA-C

  • Medical Physician Assistant
  • Gilbertsville, PA
National Provider Identifier
1639894710
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA064087 Issued in PA
Practice address
1109 Grosser Rd
Gilbertsville, PA 19525-9228
Phone
(484) 498-6060
NPI assigned
Oct 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X MA064087 PA
Medical Physician Assistant 363AM0700X MA064087 PA Primary

Addresses

Primary practice location

1109 Grosser Rd
Gilbertsville, PA 19525-9228

Mailing address

222 S Broad Mountain Ave
Frackville, PA 17931-2202
Phone (570) 985-4318

Other practice location 1

700 E Norwegian St
Pottsville, PA 17901-2710
Phone (570) 621-4000

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20221227002588 PA Practitioner - Physician Assistant 4587034004 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1107 Grosser Rd
Gilbertsville, PA 19525-9228

1107 Grosser Rd 3Rd Floor
LVPG Rheumatology Gilbertsville
Gilbertsville, PA 19525-9228
Phone (610) 776-5038

1109 Grosser Rd
Gilbertsville, PA 19525-9228
Phone (484) 498-6060

320 W Pumping Station Rd
Quakertown, PA 18951-2345

320 W Pumping Station Road
3 LVPG Family Medicine Richland Township
Quakertown, PA 18951-2345
Phone (215) 529-4240

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA064087PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Physician Services of Maryland, PC Physician Assistant CurrentSince Jan 2, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 9, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 9, 2024 Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

1109 Grosser Rd
Gilbertsville, PA 19525
Phone (484) 498-6060

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

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 4

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": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1639894710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S BROAD MOUNTAIN AVE",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179312202",
            "telephone_number": "570-985-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 GROSSER RD",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195259228",
            "telephone_number": "484-498-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 E Norwegian St",
            "address_purpose": "LOCATION",
            "city": "Pottsville",
            "state": "PA",
            "postal_code": "179012710",
            "country_code": "US",
            "telephone_number": "570-621-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "GENA",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA064087",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA064087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbertsville, PA

Sources for this page

Verify at the official NPI Registry.