Active NPI
Shaniya Latrice Williams, NP-C
- Nurse Practitioner
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 25166
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 253956 | GA | MD | Family Nurse Practitioner |
| 25166 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Urgent Cares LLC | Current | Accepting new patients | |
| Minuteclinic LLC | Nurse Practitioner | Current | Accepting new patients |
| Primary Care PLLC | Family | Current | 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.
-
- Urgent Care Clinic/Center
- Anderson, SC
- NPI 1841026382
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.