Individual provider Active NPI

Tasheeka N Williams, CPNP

  • Pediatric Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1699944355
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN163073 Issued in GA
Practice address
3685 Lawrenceville Hwy Ste 100
Lawrenceville, GA 30044-4152
Phone
(770) 921-7386
Fax
(770) 923-8529
NPI assigned
Feb 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN163073 GA Primary

Addresses

Primary practice location

3685 Lawrenceville Hwy Ste 100
Lawrenceville, GA 30044-4152

Mailing address

3685 Lawrenceville Hwy Ste 100
Lawrenceville, GA 30044-4152
Phone (770) 921-7386

Other identifiers 1

IdentifierTypeStateIssuer
740488125AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN163073GAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Pediatrics, P.C. Past Accepting new patients
Children's Medicine, P.C. PastSince Nov 9, 2025 Accepting new patients

Organizations & group practices 2

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": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1699944355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3685 LAWRENCEVILLE HWY STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444152",
            "telephone_number": "770-921-7386",
            "fax_number": "770-923-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3685 LAWRENCEVILLE HWY STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444152",
            "telephone_number": "770-921-7386",
            "fax_number": "770-923-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TASHEEKA",
        "middle_name": "N",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN163073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "740488125A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.