Carllisa Williams, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11022415 Issued in FL

Practice address

856 Poydras LN W
Jacksonville, FL 32218-7694

Phone

(904) 502-4851

NPI assigned

Apr 23, 2018

Reactivated

Nov 25, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Florida Inpatient Medicine LLCGroup PAC ID 7911805254, 113 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Companion & Compassion LLC

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1215420229

  5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee

  CMS ownership

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.

• Central Florida Inpatient Medicine LLC

  • Internal Medicine Physician
  • Lake Mary, FL
  • NPI 1649228859
  Medicare reassignment Care Compare group NPD
• Patient Focus Physicians Associates Inc

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
  • NPI 1801407291
  Medicare reassignment NPD
• Companion & Compassion LLC

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1215420229
  NPD Authorized official
• Assessments Inc

  • Mental Health Counselor
  • Jensen Beach, FL
  • NPI 1063160752
  NPD
• Florida Counseling Network LLC

  • Addiction (Substance Use Disorder) Counselor
  • Ormond Beach, FL
  • NPI 1821584202
  NPD

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1124515440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 POYDRAS LN W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187694",
            "telephone_number": "904-316-5347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 POYDRAS LN W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187694",
            "telephone_number": "904-502-4851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Technology Park Ste 109",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327467107",
            "country_code": "US",
            "telephone_number": "407-647-2346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CARLLISA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "deactivation_date": "2018-06-13",
        "reactivation_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11022415",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11022415",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blanche McCool Williams, PH. D.
• Bradley G Williams, MD
• Brenda R. Williams
• Brianna Alexis Williams
• Caelan Williams, ATC
• Carol Williams, RRT
• Carolee S Williams, PTA
• Caroline Parker Williams, M.D.
• Chandra M Williams, O.D.
• Chantel Williams

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.