Individual provider Active NPI

Mariah Gail Williams, PA-C

  • Physician Assistant
  • Columbus, GA
National Provider Identifier
1982173167
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9051 Issued in GA
Practice address
7830 Veterans Pkwy Ste H
Columbus, GA 31909-4973
Phone
(706) 320-8881
Fax
(706) 221-3623
NPI assigned
Nov 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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 9051 GA Primary

Addresses

Primary practice location

7830 Veterans Pkwy Ste H
Columbus, GA 31909-4973

Mailing address

PO Box 117337
Atlanta, GA 30368-7337
Phone (770) 801-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190226000147 SC Practitioner - Physician Assistant 2365781036 Reassigns benefits to 1 organization
I20201013002677 GA Practitioner - Physician Assistant 2365781036 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3108SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Oct 19, 2020 Accepting new patients
Piedmont Cardiology of Atlanta, LLC PastSince Jan 1, 2024 Accepting new patients

Locations

707 Center St
Ste 110
Columbus, GA 31901
Phone (706) 494-4300

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

7830 Veterans Pkwy
Ste H
Columbus, GA 31909
Phone (706) 320-8881

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1542412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1982173167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117337",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303687337",
            "telephone_number": "770-801-2500",
            "fax_number": "470-271-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 VETERANS PKWY STE H",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319094973",
            "telephone_number": "706-320-8881",
            "fax_number": "706-221-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARIAH",
        "middle_name": "GAIL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-17",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.