Individual provider Active NPI

Morgan Nelms Williams

  • Nurse Practitioner
  • Fayetteville, GA
National Provider Identifier
1437779436
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN265308 Issued in GA
Practice address
874 Lanier Ave W Ste 220
Fayetteville, GA 30214-7659
Phone
(678) 833-1444
Fax
(678) 833-1445
NPI assigned
Apr 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN265308 GA
Nurse Practitioner 363L00000X RN265308 GA Primary

Addresses

Primary practice location

874 Lanier Ave W Ste 220
Fayetteville, GA 30214-7659

Mailing address

1015 Dutchman Rd
Griffin, GA 30223-6667
Phone (678) 967-1961

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
I20200824000843 GA Practitioner - Nurse Practitioner 8123444015 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosenthal, Clark and MatsurraGroup PAC ID 8729001938, 7 clinicians
Truffles Vein Center LLCGroup PAC ID 1355594797, 14 clinicians

Practice addresses (Care Compare)

1233 Hwy 54 W
Suite 210
Fayetteville, GA 30214-4542
Phone (404) 524-0095

874 Lanier Ave W
Suite 220
Fayetteville, GA 30214-7659
Phone (678) 833-1444

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rosenthal, Clark and Matsurra CurrentSince Oct 31, 2025 Accepting new patients
Truffles Vein of Central Georgia LLC CurrentSince Jan 6, 2026 Accepting new patients

Locations

1233 Highway 54 W
Ste 210
Fayetteville, GA 30214
Phone (404) 350-0106

874 Lanier Ave W
Ste 220
Fayetteville, GA 30214
Phone (678) 833-1444

96 Vinings Dr
McDonough, GA 30253
Phone (678) 833-1444

2201 Newnan Crossing Blvd E
Ste 200
Newnan, GA 30265
Phone (404) 524-0095

5041 Dallas Hwy
Ste 107
Powder Springs, GA 30127
Phone (678) 833-1444

Organizations & group practices 3

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": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1437779436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 DUTCHMAN RD",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302236667",
            "telephone_number": "678-967-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 LANIER AVE W STE 220",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147659",
            "telephone_number": "678-833-1444",
            "fax_number": "678-833-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MORGAN",
        "middle_name": "NELMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN265308",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN265308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.