CATHERINE WILLIAMS (P.A.-C) – Physician Assistant, NPI 1366469959
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,728 PHYSICIAN ASSISTANT in KY
Provider Addresses for CATHERINE WILLIAMS (P.A.-C)
650 Joel Dr
Fort Campbell, KY 422235318
Phone: (270) 798-8400
Type: Location
11717 S Memorial Dr
Bixby, OK 740082027
Phone: (918) 369-9555
Type: Location
1404 W ULYSSES ST
BROKEN ARROW, OK 740120509
Phone: (773) 919-8407
Type: Mailing
1818 N HIGHWAY 66 STE B
CATOOSA, OK 740153052
Phone: (918) 379-5013
Type: Location
11717 S MEMORIAL DR
BIXBY, OK 740082027
Phone: (918) 369-9555
Type: Location
Colonel Florence A Blanchfield Army Community Hospital, 650, Joel Drive, Clarksville, Montgomery County, Tennessee, 42223, United States
FORT CAMPBELL, KY 422235318
Phone: (270) 798-8400
Type: Mailing
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: 2021-09-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090409000356 | I | Physician Assistant | AR | TBD |
| I20190626001190 | I | Physician Assistant | TX | TBD |
| I20201215000165 | I | Physician Assistant | GA | TBD |
| I20210922002101 | I | Physician Assistant | OK | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 42223)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Physician Assistant | SC | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| - | GA | |
| - | GA |
Reviews
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