Active NPI
Tumesha Lashay Williams, NP
- Obstetrics & Gynecology Nurse Practitioner
- Fayetteville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- RN205755
- Practice address
- 1279 Highway 54 W Ste 100
Fayetteville, GA 30214-4551 - Phone
- (770) 719-5710
- NPI assigned
- Dec 2, 2015
- Last updated
- Oct 14, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | RN205755 | GA | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | RN205755 | GA | Primary |
Addresses
Primary practice location
1279 Highway 54 W Ste 100
Fayetteville, GA 30214-4551
Mailing address
1046 Ridge Ave SW
Atlanta, GA 30315-1640
Phone (404) 688-1350
Other practice location 1
1046 Ridge Ave SW
Atlanta, GA 30315-1640
Phone (404) 688-1350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5008305 | NC | MD | Family Nurse Practitioner |
| RN205755 | GA | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside Medical Center, Inc. | Current | Accepting new patients | |
| Southside Medical Center, Inc | Current | Accepting new patients | |
| Allara Medical Group PA | Past | Accepting new patients |
Locations
1046 Ridge Ave SW
Atlanta, GA 30315
Phone (404) 564-6942
1039 Ridge Ave SW
Atlanta, GA 30315
Phone (407) 761-8640
Interoperability endpoints
- tumesha.williams@335000925634564.direct.elationemr.com
- tumesha.williams.1@29536.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Atlanta, GA
- NPI 1235123993
-
dba Southside Medical Center School Based Health Center at Lee Elementary School
- Federally Qualified Health Center (FQHC)
- Jonesboro, GA
- NPI 1821981234
-
- Gynecology Physician
- New York, NY
- NPI 1700450558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1497120414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1046 RIDGE AVE SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303151640",
"telephone_number": "404-688-1350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1279 HIGHWAY 54 W STE 100",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302144551",
"telephone_number": "770-719-5710"
}
],
"practiceLocations": [
{
"address_1": "1046 Ridge Ave SW",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303151640",
"country_code": "US",
"telephone_number": "404-688-1350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "TUMESHA",
"middle_name": "LASHAY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-02",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "GA",
"license": "RN205755",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "GA",
"license": "RN205755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.