Individual provider Active NPI

Summer Spivey Williams, FNP-C

  • Family Medicine Physician
  • Barnesville, GA
National Provider Identifier
1194370015
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RN215788 Issued in GA
Practice address
522 Greenwood St Ste a
Barnesville, GA 30204-1554
Phone
(770) 872-3663
Fax
(770) 872-3665
NPI assigned
Aug 7, 2019
Last updated
Aug 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RN215788 GA Primary

Addresses

Primary practice location

522 Greenwood St Ste a
Barnesville, GA 30204-1554

Mailing address

1320 Charles Johnson Rd
Forsyth, GA 31029-7656
Phone (478) 733-6542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20200914000826 GA Practitioner - Nurse Practitioner 6507284254 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Applebaum Physiatry PLLCGroup PAC ID 8729453436, 141 clinicians

Practice addresses (Care Compare)

618 Gennett Dr
Jasper, GA 30143-1143
Phone (706) 692-5123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
T. Aaron Buice, M.D., P.C. Family Medicine CurrentSince Aug 11, 2019 Accepting new patients
Pruitthealth Hospice, Inc Family Medicine Current Accepting new patients
Medlife Urgent Care LLC CurrentSince Aug 1, 2020 Accepting new patients
Pruitthealth Hospice, Inc. Family Medicine CurrentSince Jan 8, 2021 Accepting new patients
Applebaum Physiatry PLLC CurrentSince Nov 1, 2024 Accepting new patients
Pruitthealth Hospice, Inc. Family Medicine CurrentSince Jan 8, 2021 Accepting new patients
Nursing Home Physician Group PLLC Past Accepting new patients

Locations

1800 Phoenix Blvd
Ste 12812
Atlanta, GA 30349
Phone (678) 525-7787

522 Greenwood St
Ste A
Barnesville, GA 30204
Phone (770) 872-3663

2129 Friendship Rd
Ste 200
Buford, GA 30519
Phone (770) 209-2787

618 Gennett Dr
Jasper, GA 30143
Phone (706) 692-5123

6060 Lakeside Commons Dr
Macon, GA 31210
Phone (478) 745-9204

345 Huntington Place Ct
#200
McDonough, GA 30253
Phone (404) 271-3775

345 Huntington Place Ct
Ste 200B
McDonough, GA 30253
Phone (678) 993-0820

1626 Jeurgens Ct
Norcross, GA 30093
Phone (770) 806-6875

128 S East St
Unit 1109
Crown Point, IN 46308

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": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1194370015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 CHARLES JOHNSON RD",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310297656",
            "telephone_number": "478-733-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 GREENWOOD ST STE A",
            "city": "BARNESVILLE",
            "state": "GA",
            "postal_code": "302041554",
            "telephone_number": "770-872-3663",
            "fax_number": "770-872-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SUMMER",
        "middle_name": "SPIVEY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN215788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnesville, GA

Sources for this page

Verify at the official NPI Registry.