Nakisha Williams, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN265886 Issued in GA

Practice address

511 Cash Cir
Loganville, GA 30052-3784

Phone

(678) 964-3625

NPI assigned

Oct 9, 2024

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

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Medicare enrollment (NPD)

Enrolled

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.

• Royal J Palace Home Care, LLC

  • Home Health Agency
  • Loganville, GA
  • NPI 1306676895
  NPD Authorized official
• Manna Scholarship Fund Inc

  • Adult Mental Health Clinic/Center
  • Duluth, GA
  • NPI 1083089239
  NPD
• Manna Treatment LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Duluth, GA
  • NPI 1225961899
  NPD (past)

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740787200000",
    "number": "1619796323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 HORIZON TRCE",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300525944",
            "telephone_number": "678-964-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 CASH CIR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300523784",
            "telephone_number": "678-964-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NAKISHA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2025-03-01",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN265886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryonna Monique Williams
• Jeanae A Williams, OTR/L
• Kelsey Williams
• Lauren Williams, MS, LPC, LCPC
• Lorraine Williams, FACHE, DHSC., CHES
• Stephen B Williams Jr., MA, BCCC
• Janice Wilson
• Joy Stanetrice Wilson, FNP-BC
• Kenneth L Wilson
• Thomas Christopher Wilson, PT

• Psychiatric/Mental Health Nurse Practitioner in Loganville, GA
• Providers in Loganville, 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 Mar 1, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.