Individual provider Active NPI

Dahnide Marie Williams, NP

  • Family Nurse Practitioner
  • Stone Mountain, GA
National Provider Identifier
1528689155
Registry record updated Nov 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN190858 Issued in GA
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

Updated by the provider on Nov 6, 2021

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 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 Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NY2 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
I20201120000039 GA Practitioner - Nurse Practitioner 7719398973 Reassigns benefits to 2 organizations
I20250212001858 NY Practitioner - Nurse Practitioner 7719398973 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brookview Medical Associates, PLLC CurrentSince Jan 1, 2025 Accepting new patients
Monogram Health Professional Services PC Family CurrentSince Oct 20, 2025 Accepting new patients
Monogram Health Professional Services PC Family CurrentSince Oct 20, 2025 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.

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

Verify at the official NPI Registry.