Individual provider Active NPI

Sara Lynn Williams, APRN

  • Acute Care Nurse Practitioner
  • Martinez, GA
National Provider Identifier
1073084240
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN219692 Issued in GA
Practice address
211 Bobby Jones Expy Ste D
Martinez, GA 30907-5254
Phone
(706) 860-3355
Fax
(706) 860-8765
NPI assigned
Dec 16, 2018
Last updated
Dec 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN219692 GA Primary

Addresses

Primary practice location

211 Bobby Jones Expy Ste D
Martinez, GA 30907-5254

Mailing address

211 Bobby Jones Expy Ste D
Martinez, GA 30907-5254
Phone (706) 860-3355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190214002437 GA Practitioner - Nurse Practitioner 1052659117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Procare Wellness Network IncGroup PAC ID 0547644841, 13 clinicians

Practice addresses (Care Compare)

340 Eisenhower Dr
BLDG 500
Savannah, GA 31406-1600
Phone (912) 348-3818

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Procare Wellness Network Inc CurrentSince Aug 5, 2025 Accepting new patients

Locations

140 Traders Way
Pooler, GA 31322
Phone (912) 330-8885

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1073084240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BOBBY JONES EXPY STE D",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075254",
            "telephone_number": "706-860-3355",
            "fax_number": "706-860-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BOBBY JONES EXPY STE D",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075254",
            "telephone_number": "706-860-3355",
            "fax_number": "706-860-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SARA",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN219692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, GA

Sources for this page

Verify at the official NPI Registry.