Individual provider Active NPI

Michael Terrance Williams, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Statesboro, GA
National Provider Identifier
1255157251
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
40251 Issued in TN
Practice address
PO Box 8158
Statesboro, GA 30460-2000
Phone
(912) 478-5242
NPI assigned
Nov 25, 2024
Last updated
Sep 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 288202 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 40251 TN Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11049833 FL

Addresses

Primary practice location

PO Box 8158
Statesboro, GA 30460-2000

Mailing address

PO Box 8158
Statesboro, GA 30460-2000

Other practice location 1

829 W Dr Martin Luther King Jr Blvd # 222
Tampa, FL 33603-3301
Phone (813) 957-0623

Other practice location 2

8875 Hidden River Pkwy
Tampa, FL 33637-1035
Phone (813) 867-7181

Other practice location 3

5511 Virginia Way Ste 300
Brentwood, TN 37027-7611
Phone (615) 994-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20260310003846 TN Practitioner - Nurse Practitioner 4284117094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spring Creek Mental Health ServicesGroup PAC ID 2769886746, 7 clinicians

Practice addresses (Care Compare)

303 S Main St
Unit C
Goodlettsville, TN 37072-1712
Phone (615) 708-4950

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40251TNMDPharmacist
TN40251TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Creek Mental Health Services Psychiatric/Mental Health CurrentSince Jan 14, 2026 Accepting new patients

Locations

303 S Main St
#C
Goodlettsville, TN 37072
Phone (615) 474-2050

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

NPI Registry JSON

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1255157251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8158",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304602000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 8158",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304602000",
            "telephone_number": "912-478-5242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "829 W Dr Martin Luther King Jr Blvd # 222",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336033301",
            "country_code": "US",
            "telephone_number": "813-957-0623",
            "fax_number": "615-994-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8875 Hidden River Pkwy",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336371035",
            "country_code": "US",
            "telephone_number": "813-867-7181",
            "fax_number": "813-867-7181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5511 Virginia Way Ste 300",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370277611",
            "country_code": "US",
            "telephone_number": "615-994-1000",
            "fax_number": "615-994-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHAEL",
        "middle_name": "TERRANCE",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-25",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "288202",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "40251",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11049833",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.