Individual provider Active NPI

Rita Teresa Williams, APRN, BC

  • Family Nurse Practitioner
  • Hartwell, GA
National Provider Identifier
1184712465
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN057924 Issued in GA
Practice address
28 Chandler Ctr
Hartwell, GA 30643-7914
Phone
(706) 376-9852
Fax
(706) 376-1656
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN057924 GA Primary
Family Nurse Practitioner 363LF0000X 4306 SC

Addresses

Primary practice location

28 Chandler Ctr
Hartwell, GA 30643-7914

Mailing address

28 Chandler Ctr
Hartwell, GA 30643-7914
Phone (706) 376-9852

Other identifiers 1

IdentifierTypeStateIssuer
NP1750MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN057924GAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1184712465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CHANDLER CTR",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306437914",
            "telephone_number": "706-376-9852",
            "fax_number": "706-376-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CHANDLER CTR",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306437914",
            "telephone_number": "706-376-9852",
            "fax_number": "706-376-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RITA",
        "middle_name": "TERESA",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN057924",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "4306",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1750",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartwell, GA

Sources for this page

Verify at the official NPI Registry.