MS. KELLY GLAZE WILLIAMS PA-C NPI 1821259870

NPI Information

  • NPI: 1821259870
  • Provider Name: MS. KELLY GLAZE WILLIAMS, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 790 CHURCH ST NE STE 400
    MARIETTA, GA
    ZIP 30060
  • Phone: (770) 405-2976

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NPI Details

MS. Kelly Glaze Williams, PA-C is a medical physician assistant in Marietta, GA. MS. Kelly Glaze Williams, PA-C NPI is 1821259870. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

790 CHURCH ST NE STE 400
MARIETTA, GA
ZIP 30060-957
Phone: (770) 405-2976

The NPI 1821259870 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Drainage of fluid from abdominal cavity using imaging guidance (HCPCS:49083)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)

The enumeration date for this NPI number is 6/23/2008 and was last updated on 2/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical005343GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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