Individual provider Active NPI

Jessica Lynn Williams, WHNP, CNM

  • Women's Health Nurse Practitioner
  • Enterprise, AL
National Provider Identifier
1467082511
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1-144303 Issued in AL
Practice address
400 N Edwards St
Enterprise, AL 36330-2584
Phone
(334) 347-0584
NPI assigned
Jan 16, 2020
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 1-144303 AL Primary
Advanced Practice Midwife 367A00000X 1-144303 AL

Addresses

Primary practice location

400 N Edwards St
Enterprise, AL 36330-2584

Mailing address

205 Centre Dr
Dothan, AL 36303-9338
Phone (615) 917-2325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240624004868 FL Practitioner - Certified Nurse Midwife (CNM) 2769925361 Reassigns benefits to 1 organization
I20260608002746 AL Practitioner - Certified Nurse Midwife (CNM) 2769925361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wiregrass Clinic LLCGroup PAC ID 2860662491, 69 clinicians

Practice addresses (Care Compare)

101 E Brunson St
Suite 310
Enterprise, AL 36330-2500
Phone (334) 348-8851

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-144303ALMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc CurrentSince Apr 12, 2024 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Sweet Dreams Anesthesia Inc CurrentSince Nov 13, 2023 Accepting new patients
Sda Consultants PLLC PastSince Oct 5, 2021 Accepting new patients

Locations

15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105

1301 Hodges Dr
Tallahassee, FL 32308
Phone (850) 431-5430

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021

1607 Saint James Ct
Ste 2
Tallahassee, FL 32308
Phone (850) 878-8714

2410 Patterson St
Ste 401
Nashville, TN 37203
Phone (615) 321-8899

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1467082511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CENTRE DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363039338",
            "telephone_number": "615-917-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N EDWARDS ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302584",
            "telephone_number": "334-347-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "WHNP, CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AL",
            "license": "1-144303",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AL",
            "license": "1-144303",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

Verify at the official NPI Registry.