Ms Michelle M Williams, PA-C - Medicare Physician Assistant in Ellenwood, GA

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Ms Michelle M Williams, PA-C is a medicare enrolled "Physician Assistant" in Ellenwood, Georgia. She graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Wellstreet Of Georgia Pc and her current practice location is 4475 W Village Pkwy, Ellenwood, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 507-7950.

Ms Michelle M Williams is licensed to practice in Georgia (license number 2314) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356433452.

Contact Information

Ms Michelle M Williams, PA-C
4475 W Village Pkwy,
Ellenwood, GA 30294-2869
(770) 507-7950
(716) 710-8082

Map and Direction




Provider's Profile

Full NameMs Michelle M Williams
GenderFemale
SpecialityPhysician Assistant
Experience13 Years
Location4475 W Village Pkwy, Ellenwood, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Michelle M Williams graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1356433452
  • Provider Enumeration Date: 09/28/2006
  • Last Update Date: 12/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9436053493
  • Enrollment ID: I20031121000128

Medical Identifiers

Medical identifiers for Ms Michelle M Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356433452NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical (* (Not Available))Secondary
363A00000XPhysician Assistant 2314 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellstreet Of Georgia Pc7517126279425

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Michelle M Williams allows following entities to bill medicare on her behalf.
Entity NameEmory Medical Care Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063452381
PECOS PAC ID: 4981501814
Enrollment ID: O20031217000968
Entity NameMorehouse Healthcare, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801832324
PECOS PAC ID: 6002701273
Enrollment ID: O20040217000570
Entity NameVision Medical Consulting, P.C.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073562922
PECOS PAC ID: 3678589967
Enrollment ID: O20060223000402
Entity NameLagrange Emergency Physicians, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760437560
PECOS PAC ID: 0840207072
Enrollment ID: O20060314000271
Entity NameAmerican Current Care PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710168117
PECOS PAC ID: 9739260019
Enrollment ID: O20080220000473
Entity NameGrady Memorial Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114243813
PECOS PAC ID: 7517032998
Enrollment ID: O20100723000311
Entity NameWellstreet of Georgia PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235411547
PECOS PAC ID: 7517126279
Enrollment ID: O20120315000603

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Michelle M Williams is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Michelle M Williams, PA-C
7830 Bleusparrow Dr,
Fairburn, GA 30213-6541

Ph: (678) 665-5175		Ms Michelle M Williams, PA-C
4475 W Village Pkwy,
Ellenwood, GA 30294-2869

Ph: (770) 507-7950

Reviews and Comments


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Mrs. Alvina C Shannon, PA-C
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Practice Location: 4475 W Village Pkwy, Ellenwood, GA 30294
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Phone: 770-985-4257    Fax: 770-985-4258

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.