Individual provider Active NPI

Aneka Fawn Williams, NP

  • Acute Care Nurse Practitioner
  • Snellville, GA
National Provider Identifier
1003579343
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN323177 Issued in GA
Practice address
1800 Tree LN Ste 250
Snellville, GA 30078-6799
Phone
(770) 736-6300
NPI assigned
Oct 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN323177 GA
Nurse Practitioner 363L00000X 26NJ01218300 NJ
Critical Care Medicine Nurse Practitioner 363LC0200X RN323177 GA
Critical Care Medicine Nurse Practitioner 363LC0200X 26NJ01218300 NJ
Acute Care Nurse Practitioner 363LA2100X RN323177 GA Primary

Addresses

Primary practice location

1800 Tree LN Ste 250
Snellville, GA 30078-6799

Mailing address

1103 Westfield Ave
Rahway, NJ 07065-1916
Phone (732) 396-0080

Other practice location 1

65 James St
Edison, NJ 08820-3947
Phone (732) 321-7000

Other practice location 2

1103 Westfield Ave
Rahway, NJ 07065-1916
Phone (732) 396-0080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220630002280 NJ Practitioner - Nurse Practitioner 6800276361 Reassigns benefits to 2 organizations
I20240207001227 GA Practitioner - Nurse Practitioner 6800276361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians

Practice addresses (Care Compare)

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

Hospital & facility affiliations

  • Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN323177GAMDAcute Care Nurse Practitioner
26NJ01218300NJMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Cardiology of Atlanta, LLC CurrentSince Jan 2, 2024 Accepting new patients
ICU NJ, PC CurrentSince Jun 22, 2022 Accepting new patients
Advanced Gastroenterology Center, PC CurrentSince Oct 1, 2021 Accepting new patients
Hospitalist Physicians of New Jersey PA Nurse Practitioner CurrentSince Sep 1, 2023 Accepting new patients

Locations

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

1800 Tree Ln
Ste 250
Snellville, GA 30078
Phone (678) 631-3710

65 James St
Edison, NJ 08820
Phone (732) 321-7010

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

1416 Park Ave
Plainfield, NJ 07060
Phone (732) 396-0080

1103 Westfield Ave
Rahway, NJ 07065
Phone (732) 396-0080

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1003579343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 WESTFIELD AVE",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070651916",
            "telephone_number": "732-396-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 TREE LN STE 250",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786799",
            "telephone_number": "770-736-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 James St",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088203947",
            "country_code": "US",
            "telephone_number": "732-321-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1103 Westfield Ave",
            "address_purpose": "LOCATION",
            "city": "Rahway",
            "state": "NJ",
            "postal_code": "070651916",
            "country_code": "US",
            "telephone_number": "732-396-0080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANEKA",
        "middle_name": "FAWN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN323177",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01218300",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "GA",
            "license": "RN323177",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "NJ",
            "license": "26NJ01218300",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN323177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

Verify at the official NPI Registry.