Individual provider Active NPI

Ginger Marie Williams, CRNA, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bartlett, TN
National Provider Identifier
1154488328
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
15902 Issued in TN
Practice address
5820 Stage Rd
Bartlett, TN 38134-4518
Phone
(901) 317-7900
Fax
(901) 317-7899
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 43600 KY
Certified Registered Nurse Anesthetist 367500000X 15902 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 15902 TN Primary

Addresses

Primary practice location

5820 Stage Rd
Bartlett, TN 38134-4518

Mailing address

5820 Stage Rd
Bartlett, TN 38134-4518
Phone (901) 317-7900

Other names 1

  • Mrs. Ginger Marie Collins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120615000287 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325131154 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15902TNMDPsychiatric/Mental Health Nurse Practitioner
43600KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Behavioral Health Clinic Psychiatric/Mental Health CurrentSince Sep 26, 2024 Accepting new patients
Lifelinc Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2019 Accepting new patients
Anesthesia Services of Kentucky, PLLC Past Accepting new patients
Anesthesia Associates of Louisville, PSC Past Accepting new patients
Purple Flower Health LLC PastSince Jun 1, 2020 Accepting new patients

Locations

5820 Stage Rd
Bartlett, TN 38134
Phone (901) 317-7900

1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621

2200 Union Ave
Memphis, TN 38104
Phone (901) 274-5813

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1154488328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 STAGE RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344518",
            "telephone_number": "901-317-7900",
            "fax_number": "901-317-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 STAGE RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344518",
            "telephone_number": "901-317-7900",
            "fax_number": "901-317-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "GINGER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "CRNA, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2024-11-08",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "43600",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "15902",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "15902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINGER",
            "last_name": "COLLINS",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.