Rotonda Keaton Williams, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

004174 Issued in GA

Practice address

1498 Klondike Rd SW
Suite 106
Conyers, GA 30094-5169

Phone

(770) 761-7260

Fax

(678) 413-1818

NPI assigned

May 31, 2005

Last updated

Sep 30, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atlanta Cancer Care

  • Hematology & Oncology Physician
  • Atlanta, GA
  • NPI 1497794309
  NPD (past)
• NSH Cancer Institute Professional Services a LLC

  • Hematology & Oncology Physician
  • Atlanta, GA
  • NPI 1215288378
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1669475943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FERRY RD NE",
            "address_2": "SUITE510",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303421709",
            "telephone_number": "404-419-1165",
            "fax_number": "404-419-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 KLONDIKE RD SW",
            "address_2": "SUITE 106",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945169",
            "telephone_number": "770-761-7260",
            "fax_number": "678-413-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATON WILLIAMS",
        "first_name": "ROTONDA",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "004174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jane B Kassam, MD
• Shiraz Habib Kassam, M.D.
• Saman Kazemi, RPH
• Kbsolutions and Behavioral Support Services
• Kbsolutions and Behavioral Support Services
• Keith Fallon, Psy.D., P.C.
• Porsha Mariah Kelley, MSN, APRN, FNP-C
• Calyn Kelly, FNP-C
• Tairra Kemp, LCSW
• Keion Kerr

• Physician Assistant in Conyers, GA
• Providers in Conyers, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.