MS. KELLY GLAZE WILLIAMS (NPI# 1821259870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821259870 |
| Entity Type | Individual |
| Full Name | MS. KELLY GLAZE WILLIAMS |
| Credential | PA-C |
| Practice Address |
2665 N Decatur Rd Suite 430 Decatur GA 30033-6149 |
| Mailing Address |
4150 Browning Chase Dr Tucker GA 30084-6442 |
| Practice Telephone | 4042944018 |
| Practice Fax Number | 4042949161 |
| Mailing Telephone | 7708610344 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
005343 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508323528 | Kelly Mikel Williams | Technician | 1003 Anderson Pl Se, Washington, DC 20032-4405 | 2019-02-26 |
| 1093178493 | Kelly Williams | Counselor | 1105 Cedar Crest Dr, Minden, NV 89423-5168 | 2016-04-01 |
| 1174936868 | Kelly Williams | Behavioral Analyst | 4001 Glenarm Ave, Baltimore, MD 21206-2527 | 2014-06-10 |
| 1689097446 | Kelly Williams | Registered Nurse | 18889 Saint Aubin St, Detroit, MI 48234-1220 | 2014-01-30 |
| 1588905970 | Kelly D Williams | Nurse Practitioner | 560 Queens Court Pl, Saint Peters, MO 63376-7349 | 2013-03-08 |
| 1750632204 | Kelly B Williams | Physical Therapy Assistant | 1127 Knight Dr, Columbus, GA 31906-2731 | 2012-09-24 |
| 1518241462 | Kelly Ann Williams | Pharmacist | 301 S. Sante Fe Avenue, Edmond, OK 73003 | 2011-10-10 |
| 1801190210 | Kelly Anne Williams | Health Educator | 9613 Sudley Manor Dr, Manassas, VA 20109-3345 | 2010-12-28 |
| 1235463621 | Kelly Williams | Counselor | 89 Access Rd Ste A2, Norwood, MA 02062-5229 | 2009-10-01 |
| 1487889465 | Kelly Marie Williams | Hearing Instrument Specialist | 165 E. Rowland Street, Covina, CA 91723-3049 | 2009-05-20 |
| Street Address |
2665 N DECATUR RD SUITE 430 |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-6149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265430797 | David Alan Miller | Internal Medicine | 2665 N Decatur Rd, Ste 430, Decatur, GA 30033-6149 | 2005-07-08 |
| 1871034934 | Tejal Dinesh Mehta | Nurse Practitioner | 2665 N Decatur Rd, Suite 430, Decatur, GA 30033-6149 | 2017-03-09 |
| 1235586728 | Dana Chason | Nurse Practitioner | 2665 N Decatur Rd, #230, Decatur, GA 30033-6149 | 2016-05-16 |
| 1700214590 | Lauren Paulus Stewart | Physician Assistant | 2665 N Decatur Rd, Suite 520, Decatur, GA 30033-6149 | 2013-10-15 |
| 1184069973 | Aakashi D Patel | Physician Assistant | 2665 N Decatur Rd, Suite 350, Decatur, GA 30033-6149 | 2013-05-07 |
| 1649537416 | Dekalb Neurology Group, LLC | Psychiatry & Neurology | 2665 N Decatur Rd, Suite 540, Decatur, GA 30033-6149 | 2012-04-18 |
| 1932478849 | Medical Oncology Consultants of Atlanta | Specialist | 2665 N Decatur Rd, Suite 150, Decatur, GA 30033-6149 | 2011-12-21 |
| 1619296746 | Alice Azzalin | Internal Medicine | 2665 N Decatur Rd, Suite 520, Decatur, GA 30033-6149 | 2010-05-28 |
| 1740518612 | Paresh P Kamat | Internal Medicine | 2665 N Decatur Rd, Suite 350, Decatur, GA 30033-6149 | 2009-12-03 |
| 1992934111 | Dimple Lilian Kripalani | Nurse Practitioner | 2665 N Decatur Rd, Suite 430, Decatur, GA 30033-6149 | 2009-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
| 1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
| 1073904181 | Nathan Potter | Physician Assistant | 798 Larry Ln, Decatur, GA 30033-4817 | 2015-02-11 |
| 1932467479 | Shannon L Hill | Physician Assistant | 1074 Ashbury Dr, Decatur, GA 30030-4165 | 2012-05-02 |
| 1578754792 | John Cicero Crawford II | Physician Assistant | 3941 John Hopkins Ct, Decatur, GA 30034-5709 | 2007-08-05 |
| 1437299773 | Barbar A Young | Physician Assistant | 3290 Memorial Dr Ste B3, Decatur, GA 30032-3400 | 2007-02-07 |
| 1992842595 | Veronica G Dockery | Physician Assistant | 346 N. Main St, Decatur, AR 72722-0735 | 2007-01-31 |
| 1649344938 | Telicia Dequai Scott | Physician Assistant | 4153b Flat Shoals Pkwy Ste 200, Decatur, GA 30034-4189 | 2006-11-20 |
| 1699773234 | Joanne Gilby Beer | Physician Assistant | 3292 Mountain Dr Ste A, Decatur, GA 30032-1102 | 2005-07-08 |
| 1871063263 | Paige Birge | Physician Assistant | 2300 N Edward St, Decatur, IL 62526-4163 | 2018-11-28 |
| Find all providers in DECATUR | ||||
Please comment or provide details below to improve the information on MS. KELLY GLAZE WILLIAMS.
| 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.