Individual provider Active NPI

Claudia C. Williams, MSN APRN FNP-C

  • Family Nurse Practitioner
  • Covington, GA
National Provider Identifier
1518023886
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F346077 Issued in NY
Practice address
4548 Salem Rd
Covington, GA 30016-4538
Phone
(770) 866-5217
NPI assigned
Dec 29, 2006
Last updated
Sep 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F346077 NY Primary

Addresses

Primary practice location

4548 Salem Rd
Covington, GA 30016-4538

Mailing address

4548 Salem Rd
Covington, GA 30016-4538
Phone (770) 866-5217

Other practice location 1

230 Rivercrest Ln
Covington, GA 30016-5948
Phone (770) 866-5217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, 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
I20210301001301 NY Practitioner - Nurse Practitioner 7810303724 Reassigns benefits to 2 organizations
I20230329000823 GA Practitioner - Nurse Practitioner 7810303724 Reassigns benefits to 1 organization

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
Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians

Practice addresses (Care Compare)

209 Cooley Dr
Suite 101
Villa Rica, GA 30180-7057
Phone (770) 456-0911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F346077NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Concierge Lifestyle Medicine CurrentSince Mar 16, 2023 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince May 30, 2025 Accepting new patients
Divinity Medical Services PLLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

209 Cooley Dr
Ste 101
Villa Rica, GA 30180
Phone (770) 456-0911

1210 Webster Ave
Bronx, NY 10456
Phone (646) 612-7747

3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111

Interoperability endpoints

  • Direct secure messaging: cwilliamsfnp-c@clm-ga.direct.office.nextgen.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1518023886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4548 SALEM RD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300164538",
            "telephone_number": "770-866-5217",
            "fax_number": "770-787-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4548 SALEM RD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300164538",
            "telephone_number": "770-866-5217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Rivercrest Ln",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "GA",
            "postal_code": "300165948",
            "country_code": "US",
            "telephone_number": "770-866-5217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CLAUDIA",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "MSN APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F346077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.