Ayanna D Williams

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1919 John Wesley Ave
College Park, GA 30337-3605

Phone

(404) 762-9190

Fax

(404) 762-9101

NPI assigned

Aug 26, 2019

Last updated

Aug 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hivtesting@odysseycounseling.org
• FHIR API: https://api.qualifacts.org/api/fhir/odysseycounseling/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Odyssey Family Counseling Center Corporation

  • Mental Health Counselor
  • College Park, GA
  • NPI 1689604605
  NPD

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1700433646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 JOHN WESLEY AVE",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303373605",
            "telephone_number": "404-762-9190",
            "fax_number": "404-762-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 JOHN WESLEY AVE",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303373605",
            "telephone_number": "404-762-9190",
            "fax_number": "404-762-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AYANNA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hivtesting@odysseycounseling.org",
            "affiliation": "N",
            "address_1": "1919 John Wesley Ave",
            "city": "College Park",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303373605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Johnny H White
• Laquanda Shuntay White, P.T.
• Jessica Whitfield, LPC
• Marquitta Whitfield
• Marie Wilbert
• Michelle Dyneicia Williams, BT
• Reginald D Williams Sr., CSA
• Stephen Philip Williams, PTA
• Uton Williams, CSA
• Cameron Jamal Willingham Sr., M.S., BCBA

• Community Health Worker in College Park, GA
• Providers in College Park, GA by specialty
• Community Health Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.