Active NPI
Terri Anderson Williams, RN
- Psychiatric/Mental Health Registered Nurse
- Jonesboro, GA
National Provider Identifier
1518428747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- RN137203
- Practice address
- 853 Battlecreek Rd
Jonesboro, GA 30236-1919 - Phone
- (770) 478-1099
- Fax
- (770) 478-8722
- NPI assigned
- Mar 29, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | RN137203 | GA | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN137203 | GA | Primary |
Addresses
Primary practice location
853 Battlecreek Rd
Jonesboro, GA 30236-1919
Mailing address
11147 Chelsea LN
Hampton, GA 30228-3222
Phone (404) 735-2441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 582101787 | Medicaid | GA |
Other names 1
- Terri Anderson
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | terri.williams@claytoncenter.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN137203 | GA | MD | Ambulatory Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553817600000",
"number": "1518428747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11147 CHELSEA LN",
"city": "HAMPTON",
"state": "GA",
"postal_code": "302283222",
"telephone_number": "404-735-2441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "853 BATTLECREEK RD",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302361919",
"telephone_number": "770-478-1099",
"fax_number": "770-478-8722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "TERRI",
"middle_name": "ANDERSON",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-29",
"last_updated": "2019-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "GA",
"license": "RN137203",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "GA",
"license": "RN137203",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "582101787",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "terri.williams@claytoncenter.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "853 Battlecreek Rd",
"city": "Jonesboro",
"state": "GA",
"country_code": "US",
"postal_code": "302361919",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TERRI",
"last_name": "ANDERSON",
"credential": "RN",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.