Active NPI
Suzannah J Williamson, NP
- Family Nurse Practitioner
- Claxton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN169751
- 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.
-
- Internal Medicine Physician
- Hinesville, GA
- NPI 1861762007
-
- Primary Care Clinic/Center
- Reidsville, GA
- NPI 1710678925
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
Practice addresses (Care Compare)
501 E Long St
Claxton, GA 30417-1435
Phone (912) 739-3354
Hospital & facility affiliations
- Evans Memorial Hospital
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Medical Group | Current | Accepting new patients | |
| SMG-Occupational Health Clinic | Past | 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
- https://fhir4.healow.com/fhir/r4/JEEICD
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN169751 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003122891B | Medicaid | GA |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.