Individual provider Active NPI

Nicole Williams, FNP

  • Family Nurse Practitioner
  • Gainesville, GA
National Provider Identifier
1609307149
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN216702 Issued in GA
Practice address
200 Wisteria Dr
Gainesville, GA 30501-3827
Phone
(770) 219-5407
Fax
(770) 219-7102
NPI assigned
Mar 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G182691 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP033107 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024192565 VA
Family Nurse Practitioner 363LF0000X RN216702 GA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1193847 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61659020 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5021611 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9971441 ID
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 014199 CT

Addresses

Primary practice location

200 Wisteria Dr
Gainesville, GA 30501-3827

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

311 Gwinnett Dr
Lawrenceville, GA 30046-5671
Phone (770) 910-9196

Other practice location 2

540 Litchfield St
Torrington, CT 06790-6679
Phone (972) 449-0540

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nwilliams36775@nghs.gadirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX, CT, IA, WA, ID, NC, VA, PA, CA, MD, FL, MA13 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 13

Enrollment IDStateProvider typePAC IDDetails
I20190520001706 GA Practitioner - Nurse Practitioner 6406199249 Reassigns benefits to 2 organizations
I20250520004309 TX Practitioner - Nurse Practitioner 6406199249 Reassigns benefits to 1 organization
I20250527000431 CT Practitioner - Nurse Practitioner 6406199249 Reassigns benefits to 1 organization
I20250527003112 IA Practitioner - Nurse Practitioner 6406199249 Reassigns benefits to 1 organization
I20250528001590 WA Practitioner - Nurse Practitioner 6406199249 Reassigns benefits to 1 organization
I20250530000308 ID Practitioner - Nurse Practitioner 6406199249 Reassigns benefits to 4 organizations
I20250602003551 NC Practitioner - Nurse Practitioner 6406199249 Reassigns benefits to 1 organization
I20250602003564 VA Practitioner - Nurse Practitioner 6406199249 Reassigns benefits to 1 organization
I20250626001857 PA Practitioner - Nurse Practitioner 6406199249 Reassigns benefits to 1 organization
I20251014000960 CA Practitioner - Nurse Practitioner 6406199249 Reassigns benefits to 1 organization
I20260108002448 MD Practitioner - Nurse Practitioner 6406199249 Reassigns benefits to 1 organization
I20260122002549 FL Practitioner - Nurse Practitioner 6406199249 Reassigns benefits to 1 organization
I20260209001437 MA Practitioner - Nurse Practitioner 6406199249 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
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians

Practice addresses (Care Compare)

MC Lean, VA 22101
Phone (972) 449-0450

Spring, TX 77382
Phone (972) 449-0540

Shenandoah, TX 77384
Phone (972) 449-0540

San Antonio, TX 78255
Phone (972) 449-0540

Austin, TX 78704
Phone (972) 449-0540

1026 A Ave NE
Unitypoint St Lukes Hospital
Cedar Rapids, IA 52402-5036
Phone (972) 449-0540

11113 Research Blvd
Austin, TX 78759-5236
Phone (972) 449-0540

1135 Carthage St
Sanford, NC 27330-4162
Phone (972) 449-0540

1200 Pleasant St
Des Moines, IA 50309-1406
Phone (972) 449-0540

1201 Hill Rd
Smithville, TX 78957-9533
Phone (972) 449-0540

130 Hays St
Luling, TX 78648-3207
Phone (972) 449-0540

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (972) 449-0540

201 Seton Pkwy
Round Rock, TX 78665-8000
Phone (972) 449-0540

262 Leroy George Dr
Clyde, NC 28721-7430
Phone (972) 449-0540

3201 S Water St
Burnet, TX 78611-4510
Phone (972) 449-0540

350 N Grandview Ave
Unitypoint the Finley Hospital
Dubuque, IA 52001-6388
Phone (972) 449-0540

4 Osprey TRL
Asheville, NC 28806-0152
Phone (972) 449-0540

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (972) 449-0540

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (972) 449-0540

6901 Medical Pkwy
Waco, TX 76712-7910
Phone (972) 449-0540

736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (972) 449-0540

800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (972) 449-0540

850 W Central Texas Expy
Harker Heights, TX 76548-1890
Phone (972) 449-0540

Merit-based Incentive Payment System (MIPS)

Final score
98.79 of 100Reported as group
Quality
98.74
Improvement activities
40
Cost
83.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN216702GAMDFamily Nurse Practitioner
014199CTMDPsychiatric/Mental Health Nurse Practitioner
1193847TXMDPsychiatric/Mental Health Nurse Practitioner
0024192565VAMDPsychiatric/Mental Health Nurse Practitioner
AP61659020WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Behavioral Health Systems CurrentSince Jan 28, 2022 Accepting new patients
Clearwater Valley Hospital & Clinics Inc. Current Accepting new patients
Access Telecare, PLLC CurrentSince May 16, 2025 Accepting new patients
St. Mary'S Hospital Inc Family CurrentSince May 18, 2025 Accepting new patients
Clearwater Valley Hospital & Clinics Inc. CurrentSince Nov 9, 2025 Accepting new patients
Access Telecare California, P.C. CurrentSince Sep 23, 2025 Accepting new patients
Kootenai Health, Inc. Current Accepting new patients
Clearwater Valley Hospital & Clinics Inc. CurrentSince May 18, 2025 Accepting new patients
Clearwater Valley Hospital & Clinics Inc. CurrentSince May 18, 2025 Accepting new patients

Locations

400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

20 York St
North Haven, CT 06510
Phone (203) 688-2433

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

250 Bray St
Athens, GA 30601
Phone (706) 542-9746

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

701 Lewiston St
Cottonwood, ID 83522
Phone (208) 962-3251

501 Oak St
Nezperce, ID 83543
Phone (208) 937-2496

301 Cedar St
Orofino, ID 83544
Phone (208) 476-4555

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

7356 15th Ave NW
Seattle, WA 98117

Organizations & group practices 10

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": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1609307149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WISTERIA DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013827",
            "telephone_number": "770-219-5407",
            "fax_number": "770-219-7102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Gwinnett Dr",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300465671",
            "country_code": "US",
            "telephone_number": "770-910-9196",
            "fax_number": "678-682-8747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 LITCHFIELD ST",
            "address_purpose": "LOCATION",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906679",
            "country_code": "US",
            "telephone_number": "972-449-0540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-26",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G182691",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP033107",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024192565",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN216702",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1193847",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61659020",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5021611",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "9971441",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "014199",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nwilliams36775@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 Wisteria Dr",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305013827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.