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

MS. Kaneitra L. Williamson, PA-C

Individual provider Medical Physician Assistant · NPI 1720389570

MS. Kaneitra L. Williamson, PA-C is a Physician Assistant in Leesburg, Florida. Qualified in 2010, 16 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
16
Licensed in
FL
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

32845 Radio Rd
Leesburg, FL 34788-3977
Phone: (352) 504-3453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3191 E Semoran Blvd, Apopka, FL 32703-5943 — (407) 788-6500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9105612 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PAT9105612 (FL)

Record details

NPI number1720389570
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 10, 2010
Last updated in NPPESApril 10, 2023
Certification dateApril 10, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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