Shermell Williams

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4298 Great Egret Way
Middleburg, FL 32068-8760

Phone

(803) 318-2052

NPI assigned

Jan 26, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Enhancing the Quality of Life, LLC

  • Case Manager/Care Coordinator
  • Middleburg, FL
  • NPI 1942829734
  NPD Authorized official
• Etqol Nurse Care Agency LLC

  • Case Manager/Care Coordinator
  • Middleburg, FL
  • NPI 1992651673
  NPD Authorized official

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

{
    "created_epoch": "1548460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586563200000",
    "number": "1609330398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4298 GREAT EGRET WAY",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688760",
            "telephone_number": "803-318-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4298 GREAT EGRET WAY",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688760",
            "telephone_number": "803-318-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHERMELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-26",
        "last_updated": "2020-04-11",
        "certification_date": "2020-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019303600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• WH FL Dental PLLC
• WH FL Optometry PLLC
• Wheelchairs Plus Inc
• Kisha N Whitehurst, LMT
• Rebecca Wilburn
• Sarah Elaine Williford, PHARMD
• Amy Wilson
• Brittany Wilson, PMHNP
• Crystal Nicole Wilson
• Daniel G Wilson, PA-C

• Case Manager/Care Coordinator in Middleburg, FL
• Providers in Middleburg, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.