Individual provider Active NPI

Kali Ann Patterson

  • Family Nurse Practitioner
  • Sandersville, GA
National Provider Identifier
1235947144
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN263305 Issued in GA
Practice address
524 Sparta Rd
Sandersville, GA 31082-1376
Phone
(478) 412-2880
Fax
(478) 412-2881
NPI assigned
Dec 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP240268 GA
Family Nurse Practitioner 363LF0000X RN263305 GA Primary

Addresses

Primary practice location

524 Sparta Rd
Sandersville, GA 31082-1376

Mailing address

1221 Ralph Keen Rd
East Dublin, GA 31027-1512
Phone (404) 273-2390

Other practice location 1

601 Ferncrest Dr
Sandersville, GA 31082-1800
Phone (478) 412-2880

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
I20250312002432 GA Practitioner - Nurse Practitioner 2264953785 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
Stacey H Williford LLCGroup PAC ID 5092198580, 7 clinicians

Practice addresses (Care Compare)

601 Ferncrest Dr
Suite 2
Sandersville, GA 31082-1892
Phone (478) 412-2880

Hospital & facility affiliations

  • Washington County Regional Medical Center Hospital, Sandersville, GA, CCN 110086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP240268GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stacey H Williford LLC Family CurrentSince Feb 1, 2025 Accepting new patients

Locations

1000 Cowles Clinic Way
Ste E-100
Greensboro, GA 30642
Phone (478) 412-2880

601 Ferncrest Dr
Ste A
Sandersville, GA 31082
Phone (478) 552-0006

601 Ferncrest Dr
Ste 2
Sandersville, GA 31082
Phone (478) 240-2090

601 Ferncrest Dr
Sandersville, GA 31082
Phone (478) 412-2880

524 Sparta Rd
Sandersville, GA 31082
Phone (478) 412-2880

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1235947144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 RALPH KEEN RD",
            "city": "EAST DUBLIN",
            "state": "GA",
            "postal_code": "310271512",
            "telephone_number": "404-273-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 SPARTA RD",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821376",
            "telephone_number": "478-412-2880",
            "fax_number": "478-412-2881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Ferncrest Dr",
            "address_purpose": "LOCATION",
            "city": "Sandersville",
            "state": "GA",
            "postal_code": "310821800",
            "country_code": "US",
            "telephone_number": "478-412-2880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "KALI",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-23",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "NP240268",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN263305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandersville, GA

Sources for this page

Verify at the official NPI Registry.