Active NPI
Nicole Williams, FNP
- Family Nurse Practitioner
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN216702
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 13
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
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 100
- Quality
- 98.74
- Improvement activities
- 40
- Cost
- 83.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN216702 | GA | MD | Family Nurse Practitioner |
| 014199 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
| 1193847 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
| 0024192565 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP61659020 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Behavioral Health Systems | Current | Accepting new patients | |
| Clearwater Valley Hospital & Clinics Inc. | Current | Accepting new patients | |
| Access Telecare, PLLC | Current | Accepting new patients | |
| St. Mary'S Hospital Inc | Family | Current | Accepting new patients |
| Clearwater Valley Hospital & Clinics Inc. | Current | Accepting new patients | |
| Access Telecare California, P.C. | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Clearwater Valley Hospital & Clinics Inc. | Current | Accepting new patients | |
| Clearwater Valley Hospital & Clinics Inc. | Current | 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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1013303080
CT, FL, GA, IA, ID, MA, MD, NC, PA, VA, WA
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Athens, GA
- NPI 1942270558
-
- Family Medicine Physician
- Orofino, ID
- NPI 1073551396
-
- Critical Access Hospital
- Orofino, ID
- NPI 1255449013
-
- Critical Access Hospital
- Cottonwood, ID
- NPI 1841292307
-
- Rural Health Clinic/Center
- Orofino, ID
- NPI 1033153739
-
- Family Medicine Physician
- Orofino, ID
- NPI 1891733747
-
- Psychiatry Physician
- Coeur D Alene, ID
- NPI 1174661151
-
- Family Medicine Physician
- Nezperce, ID
- NPI 1366480394
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.