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

Raegan W Williams, PA

Individual provider Medical Physician Assistant · NPI 1396065983

Raegan W Williams, PA is a Physician Assistant in Atlanta, Georgia. Qualified in 2009, 17 years ago. Practices with Northside Primary Care Professional Services, LLC, a 311-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
17
Licensed in
GA
In the registry since
2010
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

960 Johnson Ferry Rd Ste 500
Atlanta, GA 30342-1631
Phone: (404) 257-0006
Fax: (404) 851-1316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5803 (GA)

Record details

NPI number1396065983
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 4, 2010
Last updated in NPPESOctober 16, 2020
Certification dateOctober 16, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Northside Primary Care Professional Services,Llc — 311 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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