Michelle Williams, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

30193 Issued in TN

Practice address

175 Enoch Blvd
Savannah, TN 38372-2240

Phone

(731) 925-2300

NPI assigned

Sep 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shirleita Michelle Williams Other name

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: michelle.williams.p1@direct.lifespanhealth.nextgenshare.com

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.

• Hardin County Regional Health Center

  • Federally Qualified Health Center (FQHC)
  • Savannah, TN
  • NPI 1184676157
  Medicare reassignment

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1497427256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 FLORENCE RD",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383723451",
            "telephone_number": "731-925-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 ENOCH BLVD",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383722240",
            "telephone_number": "731-925-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEITA",
            "last_name": "WILLIAMS",
            "middle_name": "MICHELLE",
            "credential": "FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alex Wilkerson, DMD
• Stacy Ronald Wilkerson, DDS
• Kennedy S Wilkes, APRN
• William F. Conway, MD, Inc
• Daniel R Williams
• Teresa Carol Williams, DPH
• Matthew Blake Wilson
• Nicole Denise Wilson, APN
• Katie Wintermute, BA
• Women and Childrens Healthcare Center PLLC

• Family Nurse Practitioner in Savannah, TN
• Providers in Savannah, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.

Verify at the official NPI Registry.