Stacy Williams

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP007253 Issued in GA

Practice address

415 Airport Rd
Griffin, GA 30224-4834

Phone

(770) 227-8636

NPI assigned

Aug 26, 2008

Last updated

Jan 7, 2016By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1194972661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 AIRPORT RD",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244834",
            "telephone_number": "770-227-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 AIRPORT RD",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244834",
            "telephone_number": "770-227-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "STACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202005457",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Rae Williams
• Latamika Renee Williams
• Morgan Alexis Williams, OTR
• Pamela Williams
• Shanerica Williams, RPH
• Tanesha Williams, DMD
• Walter Thomas Williams, PHARM.D.
• Deon Tywonn Willis, MPH
• Subbie Willis
• Megan Elizabeth Wilmot, OT

• Speech-Language Pathologist in Griffin, GA
• Providers in Griffin, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.