Individual provider Active NPI

Kasheika Nacole Williams, FNP

  • Family Nurse Practitioner
  • Newnan, GA
National Provider Identifier
1508246182
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN223654 Issued in GA
Practice address
10 Huron St
Newnan, GA 30263-8702
Phone
(855) 592-2740
Fax
(866) 671-4474
NPI assigned
Jun 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN223654 GA Primary
Nurse Practitioner 363L00000X RN223654 GA

Addresses

Primary practice location

10 Huron St
Newnan, GA 30263-8702

Mailing address

10 Huron St
Newnan, GA 30263-8702
Phone (866) 671-4474

Other practice location 1

2202 E Oglethorpe Blvd
Albany, GA 31705-2940
Phone (229) 431-1423

Other practice location 2

1255 Highway 54 W
Fayetteville, GA 30214-4526
Phone (770) 716-0051

Other practice location 3

2305 Highway 34 E
Newnan, GA 30265-1329
Phone (678) 423-1043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN223654GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Npractice Family CurrentSince Nov 19, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEADDD/Endpoint/AEADDD

Organizations & group practices 1

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": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1508246182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HURON ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302638702",
            "telephone_number": "866-671-4474",
            "fax_number": "855-592-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HURON ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302638702",
            "telephone_number": "855-592-2740",
            "fax_number": "866-671-4474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2202 E Oglethorpe Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "GA",
            "postal_code": "317052940",
            "country_code": "US",
            "telephone_number": "229-431-1423",
            "fax_number": "229-438-0738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1255 Highway 54 W",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302144526",
            "country_code": "US",
            "telephone_number": "770-716-0051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2305 Highway 34 E",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302651329",
            "country_code": "US",
            "telephone_number": "678-423-1043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KASHEIKA",
        "middle_name": "NACOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN223654",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN223654",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.