Individual provider Active NPI

Shaniya Latrice Williams, NP-C

  • Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1497422331
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
25166 Issued in SC
Practice address
2703 Washington Rd
Augusta, GA 30909-2244
Phone
(866) 389-2727
NPI assigned
Aug 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 25166 SC
Nurse Practitioner 363L00000X 25166 SC Primary
Family Nurse Practitioner 363LF0000X 253956 GA

Addresses

Primary practice location

2703 Washington Rd
Augusta, GA 30909-2244

Mailing address

2703 Washington Rd
Augusta, GA 30909-2244

Other practice location 1

2836 Augusta Rd
West Columbia, SC 29170-3323
Phone (803) 939-0545

Other practice location 2

1520 Knox Ave
North Augusta, SC 29841-4010
Phone (803) 279-4120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 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
I20211203002085 SC Practitioner - Nurse Practitioner 2769872878 Reassigns benefits to 1 organization
I20251227000440 GA Practitioner - Nurse Practitioner 2769872878 Reassigns benefits to 2 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
Novant Health Urgent Cares LLCGroup PAC ID 8628502598, 183 clinicians

Practice addresses (Care Compare)

6167 Braided Mane Pass SW
Aiken, SC 29803-7839
Phone (803) 648-1464

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
253956GAMDFamily Nurse Practitioner
25166SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Urgent Cares LLC CurrentSince Nov 1, 2024 Accepting new patients
Minuteclinic LLC Nurse Practitioner CurrentSince Nov 6, 2025 Accepting new patients
Primary Care PLLC Family CurrentSince Nov 6, 2025 Accepting new patients

Locations

2703 Washington Rd
Augusta, GA 30909
Phone (706) 737-4939

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

6167 Braided Mane Pass SW
Aiken, SC 29803
Phone (803) 502-1484

100 Jimmy Love Ln
Columbia, SC 29212
Phone (803) 731-4055

1520 Knox Ave
North Augusta, SC 29841
Phone (803) 279-4120

2836 Augusta Rd
West Columbia, SC 29170
Phone (803) 939-0545

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

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": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1497422331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 WASHINGTON RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309092244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 WASHINGTON RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309092244",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2836 Augusta Rd",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291703323",
            "country_code": "US",
            "telephone_number": "803-939-0545",
            "fax_number": "803-939-0583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 Knox Ave",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298414010",
            "country_code": "US",
            "telephone_number": "803-279-4120",
            "fax_number": "803-279-5418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHANIYA",
        "middle_name": "LATRICE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25166",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "25166",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "253956",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.