Individual provider Active NPI

Nancy K Williams, M.D.

  • Family Medicine Physician
  • Pine Bluff, AR
National Provider Identifier
1245234061
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E1500 Issued in AR
Practice address
1801 W 40TH Ave
Ste 6a
Pine Bluff, AR 71603-6963
Phone
(870) 541-9373
Fax
(870) 541-0109
NPI assigned
Jun 9, 2005
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E1500 AR Primary

Addresses

Primary practice location

1801 W 40TH Ave
Ste 6a
Pine Bluff, AR 71603-6963

Mailing address

1801 W 40TH Ave
Ste 6a
Pine Bluff, AR 71603-6963
Phone (870) 541-9373

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address williamsn@ohit.sharear.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060104000056 AR Practitioner - Family PracticePractitioner - Emergency Medicine 0446272512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4747 Dusty Lake Dr
Suite 202
Pine Bluff, AR 71603-9058
Phone (870) 541-8701

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E1500ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Hospital Association, Inc Family Medicine CurrentSince Jan 28, 2017 Accepting new patients
Jefferson Hospital Association, Inc Family Medicine CurrentSince Jan 28, 2017 Accepting new patients
Jefferson Hospital Association, Inc Current Accepting new patients

Locations

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

1601 W 40th Ave
Ste 301
Pine Bluff, AR 71603
Phone (870) 541-4285

1609 W 40th Ave
Ste 403
Pine Bluff, AR 71603
Phone (870) 534-4188

1801 W 40th Ave
Ste 6A
Pine Bluff, AR 71603
Phone (870) 541-9373

4747 Dusty Lake Dr
Ste 202
Pine Bluff, AR 71603
Phone (870) 541-7173

Interoperability endpoints

  • Direct secure messaging: williamsn@ohit.sharear.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1245234061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W 40TH AVE",
            "address_2": "STE 6A",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036963",
            "telephone_number": "870-541-9373",
            "fax_number": "870-541-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W 40TH AVE",
            "address_2": "STE 6A",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036963",
            "telephone_number": "870-541-9373",
            "fax_number": "870-541-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NANCY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E1500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "williamsn@ohit.sharear.net",
            "affiliation": "N",
            "address_1": "1801 W 40th Ave",
            "address_2": "Ste 6A",
            "city": "Pine Bluff",
            "state": "AR",
            "country_code": "US",
            "postal_code": "716036963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.