Individual provider Active NPI

Denise Williams, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Dayton, TN
National Provider Identifier
1316461726
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22835 Issued in TN
Practice address
4589 Rhea County Hwy
Dayton, TN 37321-6076
Phone
(423) 428-9550
NPI assigned
Jul 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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 21947 SC
Family Nurse Practitioner 363LF0000X 22835 TN Primary

Addresses

Primary practice location

4589 Rhea County Hwy
Dayton, TN 37321-6076

Mailing address

PO Box 640
McMinnville, TN 37111-0640
Phone (931) 507-1212

Other identifiers 1

IdentifierTypeStateIssuer
1316461726MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180904003016 SC Practitioner - Nurse Practitioner 4082964598
I20190419000594 TN Practitioner - Nurse Practitioner 4082964598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5736 Manchester Hwy
Morrison, TN 37357-7503
Phone (931) 815-3871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
22835TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Health Association, Inc. CurrentSince Apr 18, 2022 Accepting new patients

Locations

4589 Rhea County Hwy
Dayton, TN 37321
Phone (423) 428-9500

5736 Manchester Hwy
Morrison, TN 37357
Phone (931) 815-3871

Interoperability endpoints

  • Direct secure messaging: denise.williams.p2@direct.alegiscare.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1316461726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371110640",
            "telephone_number": "931-507-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4589 RHEA COUNTY HWY",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373216076",
            "telephone_number": "423-428-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21947",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316461726",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, TN

Sources for this page

Verify at the official NPI Registry.