Individual provider Active NPI

Annalily B Williams, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Moncks Corner, SC
National Provider Identifier
1194215798
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26380 Issued in SC
Practice address
403 Stony Landing Rd
Moncks Corner, SC 29461-3967
Phone
(843) 761-8282
Fax
(843) 761-7308
NPI assigned
May 18, 2018
Last updated
May 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26380 SC Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 243812 SC

Addresses

Primary practice location

403 Stony Landing Rd
Moncks Corner, SC 29461-3967

Mailing address

3445 Ingleside Blvd
Ladson, SC 29456-4142
Phone (843) 782-2000

Other identifiers 1

IdentifierTypeStateIssuer
435201MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20221128003024 SC Practitioner - Nurse Practitioner 9739557562 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tandem Health SCGroup PAC ID 3870575855, shared by 10 NPIs, 32 clinicians
Curana Health of South Carolina PCGroup PAC ID 1951672617, 226 clinicians
CH Specialty Services SC LLCGroup PAC ID 6608182993, 222 clinicians

Practice addresses (Care Compare)

1278 N Lafayette Dr
Sumter, SC 29150-2964
Phone (803) 774-4500

2375 Baker Hospital Blvd
North Charleston, SC 29405-8233
Phone (737) 226-6700

6650 Rivers Ave
North Charleston, SC 29406-4809
Phone (337) 991-9276

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
243812SCMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services SC LLC CurrentSince Dec 9, 2025 Accepting new patients
Curana Health of South Carolina PC CurrentSince Dec 9, 2025 Accepting new patients
Tandem Health SC CurrentSince Oct 10, 2022 Accepting new patients
Healthy Healing LLC Psychiatric/Mental Health Current Accepting new patients
Tandem Health SC CurrentSince Jan 26, 2025 Accepting new patients
Tandem Health SC CurrentSince Oct 10, 2022 Accepting new patients

Locations

2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750

6650 Rivers Ave
North Charleston, SC 29406
Phone (843) 260-5361

1278 N Layfayette St
Sumter, SC 29150

370 S Pike W
Sumter, SC 29150
Phone (803) 774-6448

425 N Salem Ave
Sumter, SC 29150
Phone (803) 773-8148

550 S Pike W
Sumter, SC 29150

Interoperability endpoints

  • Direct secure messaging: annalily.williams.1@13095.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1194215798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 INGLESIDE BLVD",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564142",
            "telephone_number": "843-782-2000",
            "fax_number": "843-790-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 STONY LANDING RD",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613967",
            "telephone_number": "843-761-8282",
            "fax_number": "843-761-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANNALILY",
        "middle_name": "B",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "26380",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "SC",
            "license": "243812",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435201",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moncks Corner, SC

Sources for this page

Verify at the official NPI Registry.