Individual provider Active NPI

Suzannah J Williamson, NP

  • Family Nurse Practitioner
  • Claxton, GA
National Provider Identifier
1649555178
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN169751 Issued in GA
Practice address
501 E Long St
Claxton, GA 30417-1435
Phone
(912) 739-3354
Fax
(912) 739-3374
NPI assigned
Oct 16, 2011
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Medical Group 7 clinicians

Practice addresses (Care Compare)

501 E Long St
Claxton, GA 30417-1435
Phone (912) 739-3354

Hospital & facility affiliations

  • Evans Memorial Hospital Hospital, Claxton, GA, CCN 110142

Medicare participation

Medicare enrollment files
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20111227000176 GA Practitioner - Nurse Practitioner 4082880984 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Medical Group CurrentSince Apr 22, 2013 Accepting new patients
SMG-Occupational Health Clinic PastSince May 21, 2023 Accepting new patients
Allied Health Systems Past Accepting new patients

Locations

602 E Long St
Claxton, GA 30417
Phone (912) 739-2509

501 E Long St
Claxton, GA 30417
Phone (912) 739-3354

601 S Veterans Blvd
Glennville, GA 30427
Phone (912) 654-0475

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEEICD

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN169751 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

501 E Long St
Claxton, GA 30417-1435

Mailing address

PO Box 217
Claxton, GA 30417-0217
Phone (912) 739-3354

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
003122891BMedicaidGA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 22, 2026.

{
    "created_epoch": "1318723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1649555178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "CLAXTON",
            "state": "GA",
            "postal_code": "304170217",
            "telephone_number": "912-739-3354",
            "fax_number": "912-739-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E LONG ST",
            "city": "CLAXTON",
            "state": "GA",
            "postal_code": "304171435",
            "telephone_number": "912-739-3354",
            "fax_number": "912-739-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "SUZANNAH",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-16",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN169751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003122891B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Claxton, GA

Sources for this page

Verify at the official NPI Registry.