Active NPI
Mariah Gail Williams, PA-C
- Physician Assistant
- Columbus, GA
National Provider Identifier
1982173167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9051
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3108 | SC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Ambulatory Healthcare Services, Inc. | Current | Accepting new patients | |
| Piedmont Cardiology of Atlanta, LLC | Past | 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.
-
- Family Medicine Physician
- Columbus, GA
- NPI 1790733244
-
- Family Medicine Physician
- Aiken, SC
- NPI 1851747190
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.