Active NPI
Kennedy Williams
- Family Nurse Practitioner
- Dothan, AL
National Provider Identifier
1265275192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3-001810
- Practice address
- 3144 Ross Clark Cir
Dothan, AL 36303-3038 - Phone
- (334) 678-9123
- Fax
- (334) 678-9124
- NPI assigned
- Jun 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3-001810 | AL | Primary |
Addresses
Primary practice location
3144 Ross Clark Cir
Dothan, AL 36303-3038
Mailing address
2844 Lincoln Ave
Alford, FL 32420-6201
Phone (850) 272-0685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3-001810 | AL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1265275192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2844 LINCOLN AVE",
"city": "ALFORD",
"state": "FL",
"postal_code": "324206201",
"telephone_number": "850-272-0685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3144 ROSS CLARK CIR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363033038",
"telephone_number": "334-678-9123",
"fax_number": "334-678-9124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KENNEDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-18",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "3-001810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.