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Active NPI 1720389570 Individual Practitioner Female Practitioner

Kaneitra L. Williamson , PA-C

Physician Assistant • Leesburg, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Kaneitra Williamson, PA-C is a certified Physician Assistant practicing in Leesburg, FL. With approximately 16 years of clinical experience since completing medical education in 2010, Kaneitra Williamson delivers high-quality medical care to the local community at 32845 RADIO RD.

Kaneitra Williamson is affiliated with Carolinas Physicians Network Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

32845 Radio Rd

Leesburg, FL 347883977

Telephone 3525043453
Associated Practice Facility / Clinic
🏢 Mary Ann Tesalona Md Corp Facility NPI 1952574923

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Leesburg, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs +0.2 yrs vs City Avg
City Avg: 15.8 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
21 Specialists

Practicing in Leesburg, FL (10376 Statewide)

Telehealth Adoption Rate
9.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
71.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Williamson (16 Years) 16 Yrs
Leesburg Specialty Average (15.8 Years) 15.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
99 89 $247.73 $73.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
90 77 $361.06 $104.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
36 36 $380.83 $106.21
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
30 28 $39.00 $7.61
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
13 13 $171.00 $50.28

Medical Specialties & State Licenses

CMS Verified: 2023-04-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9105612

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License FL PAT9105612

Definition to come...

Hospital & Practice Group Affiliations

Carolinas Physicians Network Inc

7666 Charlotte Hwy, Indian Land, SC 297077000

Phone: 7045124808

Carolinas Physicians Network Inc

704 Gold Hill Rd, Fort Mill, SC 297158907

Phone: 8038350405

Secondary Practice Locations

3191 E Semoran Blvd

Apopka, FL 327035943

Phone: 4077886500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Tabatha Harley , FNP-C

Nurse Practitioner - Family

NPI 1598336075

Family Nurse Practitioner (Certified)

NPI 1699209296

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 10, 2023

Registered at 32845 RADIO RD, LEESBURG, FL 347883977 (Tel: 3525043453)

📍
Updated Business Mailing Address April 10, 2023

Registered at 32845 RADIO RD, LEESBURG, FL 347883977 (Tel: 3525043453)

NPI Profile Active November 04, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 04, 2014

Registered at 3191 E SEMORAN BLVD, APOPKA, FL 327035943 (Tel: 4077886500)

📍
Updated Business Mailing Address November 04, 2014

Registered at 3191 E SEMORAN BLVD, APOPKA, FL 327035943 (Tel: 4077886500)

👤
Provider Name / Credentials Updated November 04, 2014

Recorded as KANEITRA WILLIAMSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2014

Physician Assistant (License #PAT9105612 in FL)

🟢
Initial NPI Registration & Enumeration November 10, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720389570
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2010
Last Update: April 10, 2023
Sole Proprietor: Yes

Mailing Address

32845 Radio Rd

Leesburg, FL 347883977

Phone: 3525043453

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.