Individual provider Active NPI

Chemisha Williams, PA-C

  • Physician Assistant
  • Tuscaloosa, AL
National Provider Identifier
1952846115
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4960 Rice Mine Rd NE Ste 40
Tuscaloosa, AL 35406-3136
Phone
(205) 759-1519
Fax
(205) 750-8612
NPI assigned
Dec 27, 2016
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

4960 Rice Mine Rd NE Ste 40
Tuscaloosa, AL 35406-3136

Mailing address

4960 Rice Mine Rd NE Ste 40
Tuscaloosa, AL 35406-3136
Phone (205) 759-1519

Other names 1

  • Chemisha Williams Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20251112003535 AL Practitioner - Physician Assistant 4183115694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert J Bentley LLCGroup PAC ID 5799054904, 7 clinicians

Practice addresses (Care Compare)

4960 Rice Mine Rd NE
Suite 40
Tuscaloosa, AL 35406-3136
Phone 2057591519102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2372ALMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J. Bentley LLC CurrentSince Jul 31, 2025 Accepting new patients
Robert J. Bentley LLC CurrentSince Jul 31, 2025 Accepting new patients

Locations

4960 Rice Mine Rd NE
Ste 40
Tuscaloosa, AL 35406
Phone (205) 759-1519

Interoperability endpoints

  • Direct secure messaging: chemisha@dermcareal.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1952846115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 RICE MINE RD NE STE 40",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354063136",
            "telephone_number": "205-759-1519",
            "fax_number": "205-750-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 RICE MINE RD NE STE 40",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354063136",
            "telephone_number": "205-759-1519",
            "fax_number": "205-750-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHEMISHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-27",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHEMISHA",
            "last_name": "WILLIAMS",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.