Kaneitra L. Williamson, PA-C
NPI 1720389570ActiveIndividual· Physician Assistant· Leesburg, FL
Physician Assistant (PA-C) with Carolinas Physicians Network Inc, practicing in Leesburg, Florida. Their prescriptions cost Medicare Part D more than their services did: $200,015 for 1,839 claims, against $21,838 paid for services in 2024. Lists Atrium Health Union and 1 other hospital as hospital affiliations.
Overview
| NPI | 1720389570 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Nov 10, 2010 |
| Last updated in NPPES | Apr 10, 2023 |
| Certified by provider | Apr 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA9105612 | FL |
| Physician Assistant, Medical | 363AM0700X | PAT9105612 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (FL); Practitioner - Physician Assistant (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 203 |
|---|---|
| Services billed | 438 across 39 procedure codes |
| Paid by Medicare | $21,838 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,839 · 4,256 30-day fills |
|---|---|
| Patients | 326 |
| Total drug cost | $200,015 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Carolinas Physicians Network IncCharlotte, NC · 2,325 clinicians
Hospital affiliations
- Atrium Health UnionMonroe, NC
- Carolinas Medical Center/Behav HealthCharlotte, NC
Other facilities
- Healthy at Home YorkHome health agency · Rock Hill, SC
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 25 physician assistants in Leesburg · All physician assistants in Florida