MRS. ROTONDA KEATON WILLIAMS (NPI# 1669475943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669475943 |
| Entity Type | Individual |
| Full Name | MRS. ROTONDA KEATON WILLIAMS |
| Credential | P.A. |
| Practice Address |
1498 Klondike Rd Sw Suite 106 Conyers GA 30094-5169 |
| Mailing Address |
1100 Johnson Ferry Rd Ne Suite510 Sandy Springs GA 30342-1709 |
| Practice Telephone | 7707617260 |
| Practice Fax Number | 6784131818 |
| Mailing Telephone | 4044191165 |
| Mailing Fax Number | 4044191164 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2011-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 004174 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1498 KLONDIKE RD SW SUITE 106 |
| City | CONYERS |
| State | GA |
| Zip Code | 30094-5169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031974 | Donna-marie Erika Brown | Pediatrics | 1498 Klondike Rd Sw, Ste 106, Conyers, GA 30094-5169 | 2005-05-24 |
| 1174070981 | Tabitha Wishard Mcwhorter | Pharmacist | 1498 Klondike Rd Sw, Suite 106, Conyers, GA 30094-5169 | 2016-09-09 |
| 1912257957 | Nsh Cancer Institute Professional Services A LLC | Durable Medical Equipment & Medical Supplies | 1498 Klondike Rd Sw, Suite 106, Conyers, GA 30094-5169 | 2012-09-18 |
| 1336444546 | Meg Zeringue | Physician Assistant | 1498 Klondike Rd Sw, Suite 106, Conyers, GA 30094-5169 | 2011-01-19 |
| 1114161411 | Megan Jean Mckee | Internal Medicine | 1498 Klondike Rd Sw, Suite 106, Conyers, GA 30094-5169 | 2009-04-30 |
| 1083660104 | Richard Carter | Internal Medicine | 1498 Klondike Rd Sw, Suite 106, Conyers, GA 30094-5169 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029054 | Darlene Fletcher | Counselor | 827 St. Clair Dr., Conyers, GA 30094 | 2020-10-05 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1659838571 | Sensitive Home Care Agency Inc. | PACE Provider Organization | 2225 Morning Dew, Conyers, GA 30094 | 2019-02-27 |
| 1679097992 | Sheira Dennis | Case Management | 3828 Martingale Dr Se, Conyers, GA 30094 | 2017-07-28 |
| 1730571399 | Wellness and Trauma Recovery Center | Counselor | 1775 Parker Rd. Building C, Suite 210, Conyers, GA 30094 | 2015-02-19 |
| 1760870612 | Michael Terrell | Technician/Technologist | 806 Cambridge Creek Dr, Conyers, GA 30094 | 2014-12-30 |
| 1538567466 | Jennifer Angela Johnson | Registered Nurse | 2240 Wren Rd Se, Conyers, GA 30094 | 2014-12-09 |
| 1225445208 | Wanda Marcella Rainey-reed | Counselor | 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 | 2014-07-22 |
| 1508155268 | Nicklaus Trent Rice | Obstetrics & Gynecology | 2750 Owens Dr, Conyers, GA 30094 | 2011-04-04 |
| 1720219660 | Candace Alexander | Dentist | 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 | 2009-07-27 |
| Find all providers in zip 30094 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700356953 | Angelica Liliana Mcgowan | Physician Assistant | 2213 Exchange Pl Se Ste A, Conyers, GA 30013-6723 | 2018-11-30 |
| 1689197139 | Chongmyong Daniel Won | Physician Assistant | 1301 Sigman Rd Ne Ste 100, Conyers, GA 30012-3819 | 2017-07-17 |
| 1467453225 | William Stephen Steiner | Physician Assistant | 1315 Milstead Ave Ne, Conyers, GA 30012-3829 | 2005-08-02 |
| 1477192144 | Elham Laghaie | Physician Assistant | 2213a Exchange Pl Se, Conyers, GA 30013-6723 | 2019-12-30 |
| 1386116309 | Walker Lake Intensivist, PC | Physician Assistant | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 2019-01-02 |
| 1437629342 | Walker Lake Emergency Group, PC | Physician Assistant | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 2018-12-04 |
| 1215412754 | Sierra Moore | Physician Assistant | 1301 Sigman Rd Ne Ste 100, Conyers, GA 30012-3819 | 2018-10-01 |
| 1083190706 | Audrey Chasteen | Physician Assistant | 1370 Wellbrook Cir Ne, Conyers, GA 30012-3872 | 2018-07-16 |
| 1750894408 | Chelsey Brack | Physician Assistant | 2020 Honey Creek Pkwy Se, Conyers, GA 30013-2974 | 2017-11-15 |
| 1407392558 | Brilee Rogers | Physician Assistant | 2020 Honey Creek Pkwy Se, Conyers, GA 30013-2974 | 2017-01-13 |
| Find all providers in CONYERS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.