Active NPI
Dahnide Marie Williams, NP
- Family Nurse Practitioner
- Stone Mountain, GA
National Provider Identifier
1528689155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN190858
- Practice address
- 667 Lakewater Estates LN
Stone Mountain, GA 30087-4999 - Phone
- (770) 377-6479
- NPI assigned
- May 5, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN190858 | GA | Primary |
Addresses
Primary practice location
667 Lakewater Estates LN
Stone Mountain, GA 30087-4999
Mailing address
667 Lakewater Estates LN
Stone Mountain, GA 30087-4999
Phone (770) 377-6479
Other names 1
- Mrs. Dahnide Marie Williams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookview Medical Associates, PLLC | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
Locations
3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 277-2167
80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
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 and National Provider Directory roles.
-
- General Practice Physician
- Bohemia, NY
- NPI 1871965855
-
- Nephrology Physician
- Brentwood, TN
- NPI 1255930228
Family, GA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636156800000",
"number": "1528689155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "667 LAKEWATER ESTATES LN",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300874999",
"telephone_number": "770-377-6479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "667 LAKEWATER ESTATES LN",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300874999",
"telephone_number": "770-377-6479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DAHNIDE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-05",
"last_updated": "2021-11-06",
"certification_date": "2021-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN190858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAHNIDE",
"last_name": "WILLIAMS",
"middle_name": "MARIE",
"prefix": "MRS.",
"credential": "NP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.