Individual provider Active NPI

Joy Williams

  • Psychiatric/Mental Health Nurse Practitioner
  • Kennesaw, GA
National Provider Identifier
1720836778
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN327885 Issued in GA
Practice address
1301 Shiloh Rd NW Ste 1810
Kennesaw, GA 30144-7171
Phone
(470) 428-7087
Fax
(774) 374-8083
NPI assigned
May 7, 2024
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 305356 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN327885 GA Primary

Addresses

Primary practice location

1301 Shiloh Rd NW Ste 1810
Kennesaw, GA 30144-7171

Mailing address

1301 Shiloh Rd NW Ste 1810
Kennesaw, GA 30144-7171
Phone (877) 752-5262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CO, AZ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20250121002780 GA Practitioner - Nurse Practitioner 7113456161 Reassigns benefits to 2 organizations
I20250226003476 CO Practitioner - Nurse Practitioner 7113456161 Reassigns benefits to 2 organizations
I20250324002561 AZ Practitioner - Nurse Practitioner 7113456161 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
305356AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Dec 24, 2024 Accepting new patients
Steel&Sage Mental Health LLC Psychiatric/Mental Health Current Accepting new patients
Psychplus Medical Associates, PLLC CurrentSince Jan 18, 2025 Accepting new patients

Locations

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

13060 W Bell Rd
Surprise, AZ 85378
Phone (623) 499-9100

1554 N Emerson St
Unit 5
Denver, CO 80218
Phone (720) 358-2862

6169 S Balsam Way
Ste 320
Littleton, CO 80123
Phone (303) 973-3668

1200 Winder Hwy
Dacula, GA 30019
Phone (404) 474-8704

1301 Shiloh Rd NW
Ste 1810
Kennesaw, GA 30144
Phone (470) 428-7087

2090 Baker Rd NW
Ste 304
Kennesaw, GA 30144

3541 N Crossing Cir
Valdosta, GA 31602
Phone (229) 244-4200

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1720836778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 1810",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447171",
            "telephone_number": "877-752-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 1810",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447171",
            "telephone_number": "470-428-7087",
            "fax_number": "774-374-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "305356",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN327885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.