Individual provider Active NPI

Amy Spillers Williams, FNP

  • Family Nurse Practitioner
  • Evans, GA
National Provider Identifier
1215765839
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN303128 Issued in GA
Practice address
4150 Washington Rd Ste 6
Evans, GA 30809-4722
Phone
(478) 952-6860
NPI assigned
Jul 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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 RN303128 GA Primary

Addresses

Primary practice location

4150 Washington Rd Ste 6
Evans, GA 30809-4722

Mailing address

4572 Craig Dr
Evans, GA 30809-3458
Phone (478) 952-6860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241210001282 GA Practitioner - Nurse Practitioner 6608302955 Reassigns benefits to 1 organization
I20250331003124 SC Practitioner - Nurse Practitioner 6608302955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Dermatology and Skin Cancer Center, LLCGroup PAC ID 7113980855, 53 clinicians
Southern Dermatology Medical LLCGroup PAC ID 0244648186, 6 clinicians

Practice addresses (Care Compare)

212 Hospital Dr
Suite C
Warner Robins, GA 31088-4247
Phone (478) 922-9281

3555 Richland Ave W
Suite 174
Aiken, SC 29801-6410
Phone (803) 335-0066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN303128GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Dermatology & Skin Cancer Center, LLC CurrentSince Feb 15, 2026 Accepting new patients

Locations

631 E Forsyth St
Americus, GA 31709
Phone (229) 924-6006

Organizations & group practices 2

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": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1215765839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4572 CRAIG DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093458",
            "telephone_number": "478-952-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 WASHINGTON RD STE 6",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094722",
            "telephone_number": "478-952-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AMY",
        "middle_name": "SPILLERS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN303128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.