ANGEL DAMETREA WILLIAMS (DPT) – Physical Therapist, NPI 1174844872

ANGEL DAMETREA WILLIAMS (DPT) is a healthcare provider. based in Atlanta, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 1194781 (TX). The NPI Number for ANGEL DAMETREA WILLIAMS (DPT) is 1174844872

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
ANGEL DAMETREA WILLIAMS (DPT)
NPI
1174844872
Phone
(770) 953-6929
Address
3100 INTERSTATE NORTH CIR SE STE 500
Enumeration Date
16 June 2010
Last Update Date
30 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4043521053
Graduation Year
2008 (18 years ago)
PAC ID
2062796279
Group Practice PAC ID
4385963172
Professional Enrollment ID
I20170308000806
Address ID
GA303411605AT3929XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:15State licenses:2Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for ANGEL DAMETREA WILLIAMS (DPT)

  • 3100 INTERSTATE NORTH CIR SE STE 500

    ATLANTA, GA 303392296

    Phone: (770) 953-6929

    Fax: (770) 953-6972

    Type: Mailing

  • 33900 HARPER AVE STE 104

    CLINTON TWP, MI 480354258

    Phone: (586) 350-2644

    Fax: (586) 541-3735

    Type: Mailing

  • 1456 CHURCH STREET

    DECATUR, GA 30030

    Phone: (404) 999-3710

    Fax: (404) 999-3712

    Type: Location

  • 1700 TREE LN STE 300

    SNELLVILLE, GA 300786747

    Phone: (678) 829-4377

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-03-08

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
I20170308000806IPhysical Therapist In Private PracticeGATBD

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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,36471$0
97530Therapy procedure using functional activities97768$0
97140Therapy procedure using manual technique, each 15 minutes65772$0
97535Training for self-care or home management, each 15 minutes26959$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes13723$0
View full utilization report →

Insurance plans in this area (ZIP 30339)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385963172View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Orthopedic SurgeryGA
-GA
Physical Medicine And RehabilitationMO
Orthopedic Surgery, Hand SurgeryFL
-GA
Orthopedic SurgeryGA
Physical Therapist In Private PracticeFL
-GA
Physician AssistantGA

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Frequently asked questions

Where can patients find ANGEL DAMETREA WILLIAMS (DPT)'s NPI?
You can confirm ANGEL DAMETREA WILLIAMS (DPT) with NPI 1174844872; it appears in the national provider directory.
Is ANGEL DAMETREA WILLIAMS (DPT) active in the national directory?
ANGEL DAMETREA WILLIAMS (DPT)'s public NPI profile is in an active state.
What field does ANGEL DAMETREA WILLIAMS (DPT) work in?
You can think of ANGEL DAMETREA WILLIAMS (DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for ANGEL DAMETREA WILLIAMS (DPT)?
We surface Atlanta, Georgia for ANGEL DAMETREA WILLIAMS (DPT) based on available NPPES addresses.
Is ANGEL DAMETREA WILLIAMS (DPT) a real provider?
This page reflects official NPPES data for NPI 1174844872. Always confirm identity and privileges with the practice and licensing boards.

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