Individual provider Active NPI

Marquita Williams

  • Family Nurse Practitioner
  • Collierville, TN
National Provider Identifier
1669912127
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22272 Issued in TN
Practice address
3685 S Houston Levee Rd
Collierville, TN 38017-9009
Phone
(901) 457-2933
NPI assigned
Mar 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22272 TN Primary

Addresses

Primary practice location

3685 S Houston Levee Rd
Collierville, TN 38017-9009

Mailing address

PO Box 932958
Cleveland, OH 44193-0028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180613003152 TN Practitioner - Nurse Practitioner 1456606581 Reassigns benefits to 8 organizations
I20181129002284 MS Practitioner - Nurse Practitioner 1456606581 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
T M Carr MD PC CurrentSince Oct 15, 2017 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Jan 1, 2025 Accepting new patients
Carr PLLC CurrentSince Oct 15, 2017 Accepting new patients
Methodist South Emergency Physicians, PLLC CurrentSince Feb 28, 2024 Accepting new patients
Methodist University Emergency Physicians PLLC CurrentSince Feb 28, 2024 Accepting new patients
Impact Midsouth Inc. CurrentSince Nov 9, 2025 Accepting new patients
Olive Branch Emergency Physicians LLC CurrentSince Feb 28, 2024 Accepting new patients
Germantown Emergency Physicians, PLLC CurrentSince Feb 28, 2024 Accepting new patients
Revenge Body Bar Medspa Current Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Jan 1, 2025 Accepting new patients
Methodist North Emergency Physicians, PLLC CurrentSince Feb 28, 2024 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Nov 12, 2024 Accepting new patients

Locations

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

3685 S Houston Levee Rd
Collierville, TN 38017
Phone (901) 457-2933

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

3169 Players Club Pkwy
Memphis, TN 38125
Phone (901) 410-2090

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

Interoperability endpoints

  • Direct secure messaging: marquita.williams@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1669912127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3685 S HOUSTON LEVEE RD",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380179009",
            "telephone_number": "901-457-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARQUITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-03",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

Verify at the official NPI Registry.