Robin Sharye Williams, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN238705 Issued in GA

Practice address

523 Church St
Decatur, GA 30030-2515

Phone

(404) 589-9040

NPI assigned

Jun 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Positive Impact Health Centers IncGroup PAC ID 5496721987, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/6123adb2-d0d2-485a-9dcf-5fba87efb2ef/

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.

• Positive Impact Health Centers Inc

  • Primary Care Clinic/Center
  • Duluth, GA
  • NPI 1790861995
  Medicare reassignment Care Compare group NPD
• Positive Impact Health Centers, Inc.

  • Community/Retail Pharmacy
  • Decatur, GA
  • NPI 1912476466
  NPD
• Positive Impact Health Centers, Inc

  • Case Management Agency
  • Duluth, GA
  • NPI 1619064847
  NPD (past)

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1205451416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5304 CREST RIDGE DR",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303448101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 CHURCH ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302515",
            "telephone_number": "404-589-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROBIN",
        "middle_name": "SHARYE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN238705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mynaejah Williams
• Phyllis Devon Williams, MA
• Rhea Gordon Williams, PHD
• Richelle Rolanda Williams, RN
• Robin Williams
• Royal Williams
• Sandra Williams, LPC
• Sharee Williams, PHARMD
• Shawna Williams
• Shawntell M Williams

• Family Nurse Practitioner in Decatur, GA
• Providers in Decatur, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.