Micah Elise Williams, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA12347 Issued in TX

Practice address

1999 Medical Pkwy Ste a
San Marcos, TX 78666-7579

Phone

(512) 392-1411

Fax

(512) 392-1422

NPI assigned

Jul 11, 2019

Last updated

Mar 31, 2022By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

University of Texas Medical Branch at Galveston, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanova Dermatology PLLCGroup PAC ID 8527235340, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: mewilliams@sanovaderm.emadirect.md
• Direct secure messaging: mwilliams@directaddress.net
• Direct secure messaging: mwilliams@dmp.emadirect.md

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.

• Sanova Dermatology PLLC

  • Dermatology Physician
  • Austin, TX
  • NPI 1689957169
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1679125546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 MEMORIAL HWY STE 150",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347516",
            "telephone_number": "813-333-1528",
            "fax_number": "813-255-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 MEDICAL PKWY STE A",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667579",
            "telephone_number": "512-392-1411",
            "fax_number": "512-392-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICAH",
        "middle_name": "ELISE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwilliams@dmp.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1999 Medical Pkwy Ste A",
            "city": "San Marcos",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786667579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anne Williams, LPC
• Elizabeth Williams
• Grant David Williams, MD
• Kim Kaye Williams, LVN
• Lindsey Williams, MS CCC-SLP
• Rayna Jenae Williams, MS, LAT. ATC
• Shannon H Williams, PT
• Donald L. Willis, M.D.
• Jonnie Lorraine Wilson
• Tracy Bernard Wilson, OWNER

• Physician Assistant in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.