Individual provider Active NPI

Robert Presley Williams Jr., ARNP

  • Nurse Practitioner
  • Winter Haven, FL
National Provider Identifier
1538610001
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5023251 Issued in NC
Practice address
550 Pope Ave NW Ste 300
Winter Haven, FL 33881-4679
Phone
(863) 299-2636
NPI assigned
Oct 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5023251 NC
Nurse Practitioner 363L00000X 5023251 NC Primary

Addresses

Primary practice location

550 Pope Ave NW Ste 300
Winter Haven, FL 33881-4679

Mailing address

PO Box 100181
Columbia, SC 29202-3141
Phone (828) 202-5200

Other practice location 1

409 Tallulah Rd
Robbinsville, NC 28771-8500
Phone (828) 479-6434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 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
I20170403000156 FL Practitioner - Nurse Practitioner 5294010344 Reassigns benefits to 1 organization
I20260224003782 NC Practitioner - Nurse Practitioner 5294010344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Physicians LLCGroup PAC ID 9234554643, 30 clinicians

Practice addresses (Care Compare)

409 Tallulah Rd
Robbinsville, NC 28771-8500
Phone (828) 479-6434

550 Pope Ave NW
Suite 300
Winter Haven, FL 33881-4679
Phone (863) 299-2636

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9180843FLMDAdult Health Nurse Practitioner
5023251NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Physicians, LLC CurrentSince Nov 1, 2020 Accepting new patients
Appalachian Mountain Community Health Centers CurrentSince Jan 17, 2026 Accepting new patients
Orlando Family Physicians, LLC Past Accepting new patients

Locations

3240 S Florida Ave
Ste 105
Lakeland, FL 33803
Phone (863) 644-7337

3240 S Florida Ave
Ste 101
Lakeland, FL 33803
Phone (863) 644-7337

3240 S Florida Ave
Ste 100
Lakeland, FL 33803
Phone (863) 646-4000

6900 Tavistock Lakes Blvd
Ste 300
Orlando, FL 32827
Phone (321) 332-6947

550 Pope Ave NW
Ste 200
Winter Haven, FL 33881
Phone (863) 271-9867

550 Pope Ave NW
Winter Haven, FL 33881
Phone (863) 293-2144

550 Pope Ave NW
Ste 300
Winter Haven, FL 33881
Phone (863) 299-2636

409 Tallulah Rd
Robbinsville, NC 28771
Phone (828) 479-6434

Organizations & group practices 3

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": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1538610001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100181",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023141",
            "telephone_number": "828-202-5200",
            "fax_number": "828-479-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 POPE AVE NW STE 300",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814679",
            "telephone_number": "863-299-2636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 Tallulah Rd",
            "address_purpose": "LOCATION",
            "city": "Robbinsville",
            "state": "NC",
            "postal_code": "287718500",
            "country_code": "US",
            "telephone_number": "828-479-6434",
            "fax_number": "828-479-2674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROBERT",
        "middle_name": "PRESLEY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-20",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5023251",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5023251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.