Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mallory Williams, PA

Individual provider Physician Assistant · NPI 1265881189

Mallory Williams, PA is a Physician Assistant in Savannah, Georgia. Qualified in 2016, 10 years ago. Practices with Sjc Medical Group Inc, a 57-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

11909 D McAuley Dr
Savannah, GA 31419
Phone: (912) 927-0785
Fax: (912) 927-6572
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (GA)

Record details

NPI number1265881189
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 10, 2016
Last updated in NPPESJune 22, 2016
Mailing address602 E. 72nd Street, Savannah, GA 31405-4913

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Sjc Medical Group Inc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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