P Praxis·MD
● Active Type 1 · Individual

MS. Kelly Glaze Williams, PA-C

Physician Assistant·Marietta, GA· NPI 1821259870 · Enumerated 2008 · 17 years on NPI
Williams is 1 of 73 physician assistant providers in Marietta and 1 of 1333 in Georgia.
NPI age
17 years
Enumerated 2008-06-23
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-02-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1333 active physician assistant providers in Georgia.

NPI age
17 years
↑ 2 yr above median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-06Enumerated in NPPES
2008 2026

Where they practice

Practice location
790 Church St Ne Ste 400
Marietta, GA 300608957
📞 7704052976
Mailing address
Po Box 3157
Indianapolis, IN 462063157
📞 7704052976

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2665 N Decatur Rd, Suite 430
Decatur, GA 300336149
📞 4042944018fax 4042949161

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #005343 taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 68 other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 1333 Physician Assistant providers in Georgia?

Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.

Request a quote →

How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related