Individual Healthcare Provider
John Richard Williams, PA-C
Provider's NPPES record last updated: June 5, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1396141974
- Primary Specialty
- Physician Assistant
- Practice Location
- Clayton, Georgia
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 10:36 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Taxonomy code 363A00000X Physician Assistant
Surgical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AS0400X
Provider-Reported License Information
- Physician Assistant (Georgia)
- 7425
- Physician Assistant (North Carolina)
- 0010-13479
- Physician Assistant (Georgia)
- 007425
Practice Locations
Practice Location
189 Bo James St Ste 105
Clayton, Georgia 30525-6199
Phone: (706) 782-0016
Additional Practice Location
367 Clear Creek Pkwy
Lavonia, Georgia 30553-4173
Phone: (770) 654-4682
Additional Practice Location
655 Jesse Jewell Pkwy Se
Suite B
Gainesville, Georgia 30501
Phone: (770) 532-7092
Fax: (770) 536-0383
Additional Practice Location
725 Jesse Jewell Pkwy Se
Gainesville, Georgia 30501-3834
Phone: (770) 532-7092
Fax: (770) 536-0383
Additional Practice Location
1270 Friendship Rd
Braselton, Georgia 30517-5608
Phone: (678) 207-4477
Fax: (678) 207-4478
Additional Practice Location
1945 Beverly Rd
Gainesville, Georgia 30501-2034
Phone: (770) 533-7092
Fax: (770) 536-0383
Additional Practice Location
1400 River Pl
Braselton, Georgia 30517-5600
Phone: (770) 532-7092
Fax: (770) 536-0383
Additional Practice Location
743 Spring St Ne
Gainesville, Georgia 30501-3899
Phone: (770) 532-7092
Fax: (770) 536-0383
Record Information
- Enumeration Date
- November 10, 2014
- Provider's NPPES Record Last Updated
- June 5, 2024
- Certification Date
- June 5, 2024
- NPISignal NPPES Dataset
- August 2026
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