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RAEGAN W WILLIAMS PA
NPI 1396065983
Physician Assistant - Medical in Atlanta, GA

Active since June 04, 2010PECOS EnrolledAccepts Medicare Assignment
960 JOHNSON FERRY RD, STE 500, ATLANTA, GA 30342(404) 257-0006(404) 851-1316 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 16, 2020, Feb 3, 2017 (2 updates tracked since 2017).

About Raegan W Williams Pa NPPES

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

RAEGAN W WILLIAMS PA (NPI 1396065983) is an individual medical provider in Atlanta, Georgia, licensed in Georgia (5803) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1396065983
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameRAEGAN W WILLIAMSCredential: PA
Location Address960 JOHNSON FERRY RD, STE 500Atlanta, GA 30342-1631
Mailing Address960 Johnson Ferry Rd, Ste 500Atlanta, GA 30342-1631 · (404) 257-0006 · Fax (404) 851-1316
Phone(404) 257-0006
Fax(404) 851-1316
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 4, 2010
Last NPPES UpdateOctober 16, 20202 updates tracked since enumeration
NPPES CertifiedOctober 16, 2020
✔ NPI 1396065983 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
License✔ Licensed in GA · 5803
960 JOHNSON FERRY RD, Atlanta, GA 30342
Open in Google Maps ↗

Other Identifiers 1

Medicaid003138519BGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Raegan W Williams Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810177524
PECOS Enrollment IDI20110214000373
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Other Providers at the Same Location NPPES 20

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

MELISSA MCCARTHY NP
Nurse Practitioner (Family)
960 JOHNSON FERRY RD, STE 500
ATLANTA, GA 30342
Fulton County (404) 257-0006
CRYSTAL R DININGER PA
Physician Assistant
960 JOHNSON FERRY RD, STE 100
ATLANTA, GA 30342
Fulton County (404) 252-9063
DAVID ANTUANE BOSTON PA
Physician Assistant
960 JOHNSON FERRY RD, STE 500
ATLANTA, GA 30342
Fulton County (404) 257-0006
STEPHANIE ANNE VICKERS CNP
Nurse Practitioner (Acute Care)
960 JOHNSON FERRY RD, STE 500
ATLANTA, GA 30342
Fulton County (404) 257-0006
SHETAL Y PATEL MD
Family Medicine
960 JOHNSON FERRY RD, STE 300
ATLANTA, GA 30342
Fulton County (404) 255-7325
MRS. GUNDULA J HUBER PA
Physician Assistant
960 JOHNSON FERRY RD, SUITE 500
ATLANTA, GA 30342
Fulton County (404) 257-0006
DR. NED MARTIN FRANCO MD
Urology
960 JOHNSON FERRY RD, SUITE 420
ATLANTA, GA 30342
Fulton County (404) 252-2420
AGNES H HAN
Internal Medicine (Gastroenterology)
960 JOHNSON FERRY RD, SUITE 515
ATLANTA, GA 30342
Fulton County (404) 252-7703

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 Raegan Williams's NPI number?

The NPI number for Raegan Williams is 1396065983. It was assigned to this individual provider in the NPPES registry on June 4, 2010.

Where is Raegan Williams located?

Raegan Williams practices at 960 Johnson Ferry Rd Ste 500, Atlanta, GA 30342. The listed phone number is (404) 257-0006.

What is Raegan Williams's specialty?

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

Is Raegan Williams enrolled in Medicare?

Yes. Raegan Williams is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Raegan Williams affiliated with any hospitals?

According to CMS data, Raegan Williams is affiliated with Northside Hospital.

When was this NPI record last updated?

The NPPES record for Raegan Williams was last updated on October 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.