Individual provider Active NPI

Lauren Grace Owens Williams, MS, APRN, FNP-C

  • Family Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1205408283
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25165 Issued in SC
Practice address
525 Verdae Blvd Ste 200
Greenville, SC 29607-4021
Phone
(803) 272-0388
NPI assigned
Jul 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 25165 SC Primary

Addresses

Primary practice location

525 Verdae Blvd Ste 200
Greenville, SC 29607-4021

Mailing address

525 Verdae Blvd Ste 200
Greenville, SC 29607-4021

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lwilliams2@parksidepediatrics.com Direct Tribe513, P.A.

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
I20220504000594 SC Practitioner - Nurse Practitioner 8325435704 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
25165SCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Affiliate Physicians CurrentSince Feb 10, 2022 Accepting new patients
Musc Affiliate Physicians CurrentSince Feb 10, 2022 Accepting new patients
University Medical Associates Past Accepting new patients

Locations

525 Verdae Blvd
#100
Greenville, SC 29607
Phone (864) 516-2800

9 Hawthorne Park Ct
Greenville, SC 29615
Phone (864) 286-1040

525 Verdae Blvd
#200
Greenville, SC 29607
Phone (864) 603-5600

145 E Poinsett St
Greer, SC 29651
Phone 86460356003222

1220 Parkside Acorn Dr
Inman, SC 29349
Phone (864) 516-1783

30 Halter Dr
Powdersville, SC 29673

2 Hatcher Creek St
Simpsonville, SC 29680

312 Harrison Bridge Rd
Simpsonville, SC 29680
Phone (864) 603-5600

559 Harrison Bridge Rd
Simpsonville, SC 29680

211 Batesville Rd
Simpsonville, SC 29681

2430 Reidville Rd
Ste 102
Spartanburg, SC 29301

2430 Reidville Rd
Spartanburg, SC 29301
Phone (864) 516-1783

Interoperability endpoints

  • Direct secure messaging: lauren.williams@tribe513.eclinicaldirectplus.com

Organizations & group practices 3

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": "1625961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1205408283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 VERDAE BLVD STE 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 VERDAE BLVD STE 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074021",
            "telephone_number": "803-272-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LAUREN GRACE",
        "middle_name": "OWENS",
        "credential": "MS, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-11",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lwilliams2@parksidepediatrics.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Tribe513, P.A.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "312 Harrison Bridge Rd",
            "city": "Simpsonville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296807133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.