Chrystal Jones Williams

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN249979 Issued in GA

Practice address

255 Grandiflora Dr
McDonough, GA 30253-8011

Phone

(404) 579-6629

NPI assigned

Jan 11, 2022

Last updated

Jan 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: chrystal.williams.1@30437.direct.athenahealth.com

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1255082293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 GRANDIFLORA DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538011",
            "telephone_number": "404-579-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 GRANDIFLORA DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538011",
            "telephone_number": "404-579-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHRYSTAL",
        "middle_name": "JONES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN249979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kandi Wiley, COTA/L
• Taylar Marie Wilkinson, PTA
• Rozalind Williams-Heath, LCSW
• Carlye Williams
• Charmaine Williams, PHLEBOTOMY TECH
• Dashon Liosha Williams
• Janssen Jacob Williams, MD
• Lori Williams
• Natasha Renee Williams, MSN, FNP
• Ruth Williams

• Primary Care Nurse Practitioner in McDonough, GA
• Providers in McDonough, GA by specialty
• Primary Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.