Carolyn S Williams, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

327559 Issued in GA

Practice address

100 Main St SW Ste 107
Gainesville, GA 30501-3706

Phone

(470) 892-4239

Fax

(770) 691-6655

NPI assigned

Nov 22, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX, KY, GA3 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 3

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Integrative Mental Wellness Care

  • Nurse Practitioner
  • Gainesville, GA
  • NPI 1285519827
  Medicare reassignment NPD Authorized official
• Community Care Health Network LLC

  dba Matrix Medical Network

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  GA, KY

  Medicare reassignment NPD
• Regional Physician Services of Texas, P.a.

  • Nurse Practitioner
  • Abilene, TX
  • NPI 1043529944
  Medicare reassignment
• KR Wellness Solutions PA

  dba Standard Medical Group of Southeast Texas

  • Internal Medicine Physician
  • Nederland, TX
  • NPI 1992509665
  NPD (past)

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

{
    "created_epoch": "1448150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788566400000",
    "number": "1538533906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAIN ST SW STE 107",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013706",
            "telephone_number": "470-892-4239",
            "fax_number": "770-691-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAIN ST SW STE 107",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013706",
            "telephone_number": "470-892-4239",
            "fax_number": "770-691-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CAROLYN",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-22",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP130155",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "327559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS AP",
            "identifier": "130155",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA RN/NP",
            "identifier": "327559",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Roger Willers, M.D.
• William T. Jones, M.D.,PC
• Rachel D Williams-Clark, LMSW
• Tequilla Williams-Yarbrough
• Angela P. Williams, R.N.
• Charles Ryan Williams, MD
• Cheryl L Williams, LCSW
• Christian Williams, LMSW
• Christopher Williams
• Christopher Bishop Williams, DC

• Psychiatric/Mental Health Nurse Practitioner in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.