Individual provider Active NPI

Katie J Williams, FNP-C

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1396628863
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN340006 Issued in GA
Practice address
2255 Anthony Rd
Macon, GA 31204-5823
Phone
(800) 226-8874
NPI assigned
Jul 30, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN340006 GA Primary

Addresses

Primary practice location

2255 Anthony Rd
Macon, GA 31204-5823

Mailing address

3800 S Ocean Dr
Hollywood, FL 33019-2927
Phone (800) 226-8874

Other practice location 1

100 W Wind Ct
Tyrone, GA 30290-2855
Phone (865) 809-8756

Other practice location 2

619 Northside Dr
Griffin, GA 30223-1402
Phone (800) 226-8874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20250912002784 GA Practitioner - Nurse Practitioner 3173026382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
QSM-Ga, IncGroup PAC ID 3779842729, 12 clinicians

Practice addresses (Care Compare)

2255 Anthony Rd
Macon, GA 31204-5823
Phone (478) 784-7900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN340006GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
QSM-Ga, Inc Family CurrentSince Aug 4, 2025 Accepting new patients
QSM-NC, PA Family PastSince Sep 3, 2025 Accepting new patients

Locations

3800 S Ocean Dr
Ste 209
Hollywood, FL 33019
Phone 80022688741013

99 Hill Haven Rd
Greenville, GA 30222
Phone (706) 672-4241

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 891-9833

2255 Anthony Rd
Macon, GA 31204
Phone (478) 301-2525

1011 S Green St
Thomaston, GA 30286
Phone (706) 647-6693

310 Avenue F
Thomaston, GA 30286
Phone (706) 647-6676

Organizations & group practices 2

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": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1396628863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192927",
            "telephone_number": "800-226-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 ANTHONY RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312045823",
            "telephone_number": "800-226-8874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W Wind Ct",
            "address_purpose": "LOCATION",
            "city": "Tyrone",
            "state": "GA",
            "postal_code": "302902855",
            "country_code": "US",
            "telephone_number": "865-809-8756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "619 Northside Dr",
            "address_purpose": "LOCATION",
            "city": "Griffin",
            "state": "GA",
            "postal_code": "302231402",
            "country_code": "US",
            "telephone_number": "800-226-8874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KATIE",
        "middle_name": "J",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN340006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.