DAVID W. WILLIAMS (PA) – Physician Assistant, NPI 1457523011

DAVID W. WILLIAMS (PA) is a healthcare provider. based in Saint augustine, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA3576 (FL). The NPI Number for DAVID W. WILLIAMS (PA) is 1457523011

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DAVID W. WILLIAMS (PA)
NPI
1457523011
Phone
(904) 797-7740
Address
100 ARRICOLA AVE
Enumeration Date
24 March 2008
Last Update Date
21 December 2015

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
5294800140
Professional Enrollment ID
I20080812000747
Address ID
FL320804515ST100XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for DAVID W. WILLIAMS (PA)

  • 100, Arricola Avenue, Davis Shores, St. Augustine, St. Johns County, Florida, 32080, United States

    SAINT AUGUSTINE, FL 320804515

    Phone: (904) 797-7740

    Fax: (904) 797-7417

    Type: Mailing

  • Flagler Hospital, 400, Health Park Boulevard, St. Augustine, St. Johns County, Florida, 32086, United States

    ST AUGUSTINE, FL 320865784

    Phone: (904) 819-4300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-10-31 • Largest payer in this snapshot: Astellas Pharma US Inc ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-31

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Astellas Pharma US Inc$14
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080812000747IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes13550$0
99214Established patient office or other outpatient visit, 30-39 minutes8542$0
View full utilization report →

Insurance plans in this area (ZIP 32080)

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Reviews

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Frequently asked questions

Is there an official ID for DAVID W. WILLIAMS (PA) in U.S. healthcare records?
The official identifier for DAVID W. WILLIAMS (PA) is NPI 1457523011.
Is DAVID W. WILLIAMS (PA) shown as active in public data?
Registry records indicate DAVID W. WILLIAMS (PA) maintains an active NPI.
What clinical focus is listed for DAVID W. WILLIAMS (PA)?
At a glance, DAVID W. WILLIAMS (PA) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is DAVID W. WILLIAMS (PA) located near Saint Augustine?
DAVID W. WILLIAMS (PA) currently maps to Saint Augustine, Florida in this extract.
Can I trust this NPI listing for DAVID W. WILLIAMS (PA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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