Active NPI
Lillian Washington Williams, CNS, FNP-BC
- Psychiatric/Mental Health Clinical Nurse Specialist
- Douglasville, GA
National Provider Identifier
1063581478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- RN120648
- Practice address
- 5540 Shanon VW
Douglasville, GA 30135-1272 - Phone
- (770) 947-9551
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN120648 | GA | |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | RN120648 | GA | Primary |
Addresses
Primary practice location
5540 Shanon VW
Douglasville, GA 30135-1272
Mailing address
5540 Shanon VW
Douglasville, GA 30135-1272
Phone (770) 947-9551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN120648 | GA | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Take Care Health Georgia, P.C. | Family | Past | Accepting new patients |
| Rediclinic LLC | Past | Accepting new patients | |
| Carrollton Pediatric Clinic, P.C. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Carrollton, GA
- NPI 1295834380
-
- Family Nurse Practitioner
- Kennesaw, GA
- NPI 1043409964
-
- Clinic/Center
- Owasso, OK
- NPI 1528107141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1063581478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5540 SHANON VW",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301351272",
"telephone_number": "770-947-9551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5540 SHANON VW",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301351272",
"telephone_number": "770-947-9551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LILLIAN",
"middle_name": "WASHINGTON",
"name_prefix": "Ms.",
"credential": "CNS, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN120648",
"primary": false
},
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "GA",
"license": "RN120648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.