Individual provider

Debbie Williams, P.A.

Physician Assistant Surgical Physician Assistant Medicare enrolled

Debbie Williams, P.A. is a Surgical Physician Assistant in Mansfield, TX, registered under NPI 1164497509. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 2700 E BROAD ST, Mansfield, TX 76063. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2700 E BROAD ST, Mansfield, TX 76063 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
12233 GA Physician Assistant
PA2311 TN Surgical Physician Assistant
PA03689 TX Surgical Physician Assistant primary

Licences are recorded in 3 states: GA, TN, TX. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
5698766384

Enrolled in Medicare 3 times, across 3 states:

StateEnrollment IDProvider type
Texas I20040520001572 Practitioner - Physician Assistant
Florida I20250317002653 Practitioner - Physician Assistant
Virginia I20260313001690 Practitioner - Physician Assistant

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. There are 3 separate enrolment records across 3 states (TX, FL, VA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: Georgia, Tennessee and Texas. The practice address on file is in Mansfield, TX, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

GA Georgia
Licence
12233
Specialty
Physician Assistant
Verify with the GA board →
TN Tennessee
Licence
PA2311
Specialty
Surgical Physician Assistant
Verify with the TN board →
TX Texas practice address
Licence
PA03689
Specialty
Surgical Physician Assistant
Verify with the TX board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Surgical covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Surgical

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363A00000X Physician Assistant 12233 GA
363AS0400X Surgical Physician Assistant Surgical PA2311 TN
363AS0400X Surgical Physician Assistant Surgical PA03689 TX primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1164497509 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateFeb 21, 2006
Last updatedJul 3, 2025
StatusActive
Sole proprietorNo
GenderFemale
CredentialP.A.
Practice address 2700 E BROAD ST
Mansfield, TX 76063
(214) 947-2874
Fax (214) 947-2884
Other identifiers 1531481 · Medicaid (TN)
4348378 · Other
This record was updated on Jul 3, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1164497509 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 6 4 4 9 7 5 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 3 4 8 9 5 5 0

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1164497509?
NPI 1164497509 is the National Provider Identifier assigned to Debbie Williams, P.A. in Mansfield, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Surgical cover?
Definition to come...
How do I contact Debbie Williams, P.A.?
The phone number on file with NPPES is (214) 947-2874, last updated Jul 3, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Debbie Williams, P.A. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1164497509 a valid number?
Yes. 1164497509 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.