Williams360

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WILLIAMS360

Practice address

225 Corley Cir
Grovetown, GA 30813-5902

Phone

(404) 988-9252

NPI assigned

Aug 4, 2021

Organization subpart

No

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

Authorized official

Name

Johnny F Williams

Title

Ceo

Phone

(404) 988-9252

Specialties & licenses 1

Addresses

Other names 1

• Williams360 United Doing business as

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1023782851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CORLEY CIR",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308135902",
            "telephone_number": "404-988-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CORLEY CIR",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308135902",
            "telephone_number": "404-988-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS360",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-988-9252"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williams360 United",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bryce Williams
• Cassandra Williams
• Mark Williams
• Raquel Arleasiha Williams, RBT
• Voltrina Devaughan Williams, MSW, LCSW
• Madison Woods
• Stephanie Worley
• Jalesa Wright-Prince
• Shavon D. Wright, DPT
• Haylie M Yingst

• Home Health Agency in Grovetown, GA
• Providers in Grovetown, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.