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MS. KELLY GLAZE WILLIAMS PA-C
NPI 1821259870
Physician Assistant - Medical in Marietta, GA

Active since June 23, 2008PECOS EnrolledAccepts Medicare Assignment
790 CHURCH ST NE STE 400, MARIETTA, GA 30060(770) 405-2976 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Kelly Glaze Williams Pa-c NPPES

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

MS. KELLY GLAZE WILLIAMS PA-C (NPI 1821259870) is an individual medical provider in Marietta, Georgia, licensed in Georgia (005343) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Other.

NPPES Registry Identity

NPI1821259870
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. KELLY GLAZE WILLIAMSCredential: PA-C
Location Address790 CHURCH ST NE STE 400Marietta, GA 30060-8957
Mailing AddressPo Box 3157Indianapolis, IN 46206-3157 · (770) 405-2976
Phone(770) 405-2976
Sole ProprietorNo
Medical School CMSOther
Enumeration DateJune 23, 2008
Last NPPES UpdateFebruary 28, 2024
NPPES CertifiedFebruary 28, 2024
✔ NPI 1821259870 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 · 005343
790 CHURCH ST NE STE 400, Marietta, GA 30060
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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 and accepts Medicare assignment

Ms. Kelly Glaze Williams Pa-c 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 ID4284759234
PECOS Enrollment IDI20100914000587
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Wellstar Douglas Medical Center

Acute Care Hospitals · Douglasville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110184
Location8954 Hospital DriveDouglasville, GA 30134 · Douglas County
Emergency services Birthing friendly

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services 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.

DR. CHRIS CHAN MOO SUNG
Radiology (Vascular & Interventional Radiology)
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Cobb County (770) 405-2976
DR. THOMAS PATRICK MURPHY M.D.
Radiology (Vascular & Interventional Radiology)
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Cobb County (770) 405-2976
NANCY CHIOMA OKECHUKWU M.D.
Radiology (Diagnostic Radiology)
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Cobb County (678) 239-0420
DEBORAH LINDQUESTER
Physician Assistant
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Cobb County (770) 514-2776
ERIN MICHELE BRANDOW PA
Physician Assistant
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Cobb County (770) 405-2976
PATRICIA CHU MULDER PA
Physician Assistant
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Cobb County (770) 405-2976
DR. ELAINE GRACE KHATOD M.D.
Radiology (Diagnostic Radiology)
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Cobb County (770) 405-2976
TIMOTHY STEVENS HANES M.D.
Radiology (Diagnostic Radiology)
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Cobb County (770) 405-2976

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 Kelly Williams's NPI number?

The NPI number for Kelly Williams is 1821259870. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Where is Kelly Williams located?

Kelly Williams practices at 790 Church St NE Ste 400, Marietta, GA 30060. The listed phone number is (770) 405-2976.

What is Kelly Williams's specialty?

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

Is Kelly Williams enrolled in Medicare?

Yes. Kelly 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 Kelly Williams affiliated with any hospitals?

According to CMS data, Kelly Williams is affiliated with Wellstar Kennestone Regional Medical Center, Wellstar Paulding Medical Center, Wellstar Cobb Medical Center, Wellstar Douglas Medical Center and Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Williams was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.