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KEMONIE N WILLIAMS PA-C
NPI 1275424814
Physician Assistant - Medical in Bridgeport, CT

Active since July 11, 2025PECOS Enrolled
754 CLINTON AVE, BRIDGEPORT, CT 06604(203) 923-2204 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kemonie N Williams Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEMONIE N WILLIAMS PA-C (NPI 1275424814) is an individual medical provider in Bridgeport, Connecticut and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1275424814
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKEMONIE N WILLIAMSCredential: PA-C
Location Address754 CLINTON AVEBridgeport, CT 06604-2369
Mailing Address6134 Avalon GatesTrumbull, CT 06611-5819 · (860) 380-7458
Phone(203) 923-2204
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 11, 2025
NPPES CertifiedJuly 11, 2025
✔ NPI 1275424814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
754 CLINTON AVE, Bridgeport, CT 06604
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kemonie N Williams Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719489731
PECOS Enrollment IDI20250908002284
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVAN JAMES GAUDETTE PA-C
General Practice
754 CLINTON AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (207) 951-3929
DR. AWAIS MALIK M.D.
Family Medicine
754 CLINTON AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 923-2204
BRIDGEPORT FAMILY MEDICINE LLC
Family Medicine
754 CLINTON AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 243-6018
MRS. ROSEMARY FOX FNP
Nurse Practitioner (Family)
754 CLINTON AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 923-2204
HOPE EMERY HIZA
Physician Assistant (Medical)
754 CLINTON AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 923-2204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kemonie Williams's NPI number?

The NPI number for Kemonie Williams is 1275424814. It was assigned to this individual provider in the NPPES registry on July 11, 2025.

Where is Kemonie Williams located?

Kemonie Williams practices at 754 Clinton Ave, Bridgeport, CT 06604. The listed phone number is (203) 923-2204.

What is Kemonie Williams's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kemonie Williams enrolled in Medicare?

Yes. Kemonie Williams is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kemonie Williams was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.