ANTOINETTE SHANAE' WILLIAMS PA-C
NPI 1437886348
Physician Assistant in Prince George, VA

Active since August 02, 2022PECOS Enrolled
2035 WATERSIDE RD STE 105, PRINCE GEORGE, VA 23875(804) 256-8282(804) 256-8288 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2022, Aug 2, 2022 (2 updates tracked since 2022).

About Antoinette Shanae' Williams Pa-c NPPES

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

ANTOINETTE SHANAE' WILLIAMS PA-C (NPI 1437886348) is an individual physician assistant in Prince George, Virginia, licensed in Virginia (0110008588) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1437886348
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANTOINETTE SHANAE' WILLIAMSCredential: PA-C
Location Address2035 WATERSIDE RD STE 105Prince George, VA 23875-1265
Mailing Address7300 Ashlake Pkwy Ste 200Chesterfield, VA 23832-2827 · (804) 256-8282
Fax(804) 256-8288
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 2, 2022
Last NPPES UpdateApril 18, 20252 updates tracked since enumeration
NPPES CertifiedApril 18, 2025
NPI 1437886348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in VA · 0110008588
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 0110008588 (VA)
Also ListedInternal MedicineTaxonomy 207R00000X · License 0110008588 (VA)
2035 WATERSIDE RD STE 105, Prince George, VA 23875

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6204205370
PECOS Enrollment IDI20221212002494
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23875 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Physician Assistant
2035 WATERSIDE RD STE 105
PRINCE GEORGE, VA 23875

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 Antoinette Williams's NPI number?

The NPI number for Antoinette Williams is 1437886348. It was assigned to this individual provider in the NPPES registry on August 2, 2022.

Where is Antoinette Williams located?

Antoinette Williams practices at 2035 Waterside Rd Ste 105, Prince George, VA 23875. The listed phone number is (804) 256-8282.

What is Antoinette Williams's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Antoinette Williams enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Antoinette Williams was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.