Individual provider Active NPI

Yolanda Renae Williams, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1093339319
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN227911 Issued in GA
Practice address
1445 Woodmont LN NW Ste 2215
Atlanta, GA 30318-2866
Phone
(229) 364-2375
NPI assigned
Jun 2, 2020
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN227911 GA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Registered Nurse 163W00000X RN227911 GA
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1445 Woodmont LN NW Ste 2215
Atlanta, GA 30318-2866

Mailing address

1445 Woodmont LN NW Ste 2215
Atlanta, GA 30318-2866
Phone (229) 364-2375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, DC, NY, DE4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20220112002854 GA Practitioner - Nurse Practitioner 1456743954 Reassigns benefits to 2 organizations
I20240828001373 DC Practitioner - Nurse Practitioner 1456743954 Reassigns benefits to 1 organization
I20240906001269 NY Practitioner - Nurse Practitioner 1456743954 Reassigns benefits to 1 organization
I20241223000055 DE Practitioner - Nurse Practitioner 1456743954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Pines Community Service BoardGroup PAC ID 5799772844, 13 clinicians
Albany Area Community SVC. BoardGroup PAC ID 9032190483, 19 clinicians

Practice addresses (Care Compare)

1102 Smith Ave
Thomasville, GA 31792-5740
Phone (912) 227-5468

525 Cassidy Rd
Thomasville, GA 31792-4028
Phone (229) 225-4335

601 11TH Ave
Albany, GA 31701-1645
Phone (229) 430-4140

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Area Community SVC. Board CurrentSince Nov 13, 2023 Accepting new patients
Hope Behavioral Health Sevices Community/Behavioral Health Current Accepting new patients
A Beautiful Mind Mental Health Services, LLC Community/Behavioral Health CurrentSince Dec 1, 2020 Accepting new patients
Georgia Pines Community Service Board Community/Behavioral Health CurrentSince Aug 17, 2021 Accepting new patients
Albany Area CSB Past Accepting new patients

Locations

1120 W Broad Ave
Ste C1
Albany, GA 31707
Phone (229) 430-1960

601 11th Ave
Albany, GA 31701
Phone (229) 352-9368

1445 Woodmont Ln NW
Atlanta, GA 30318
Phone (678) 921-9969

1102 Smith Ave
Ste H
Thomasville, GA 31792
Phone (229) 225-5208

1102 Smith Ave
Ste K
Thomasville, GA 31792
Phone (912) 227-5468

Organizations & group practices 6

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": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1093339319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 WOODMONT LN NW STE 2215",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182866",
            "telephone_number": "229-364-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 WOODMONT LN NW STE 2215",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182866",
            "telephone_number": "229-364-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "YOLANDA",
        "middle_name": "RENAE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN227911",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN227911",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.