Stephanie Williams

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

PHCP012047 Issued in GA

Practice address

1520 W Orange St Ste 4
Jesup, GA 31545-0735

Phone

(912) 402-3986

NPI assigned

Sep 23, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Shireignz, LLC

  • In Home Supportive Care Agency
  • Jesup, GA
  • NPI 1447052717
  NPD Authorized official

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1740007772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 W ORANGE ST STE 4",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450735",
            "telephone_number": "912-402-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 W ORANGE ST STE 4",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450735",
            "telephone_number": "912-402-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "PHCP012047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shatavia J White
• David C Whitehead, M.D.
• Samantha Anthonette Wilkerson, FNP
• Emily Freeman Williams, FNP-C
• Reginald A Williams, MD
• Winnie Claire Hicks
• John Wesley Wolfe Jr., DMD
• Mattie Wolfson, CF-SLP
• Brandon Wright
• Henry Michael Yurgalavage, D.M.D.

• Home Health Agency in Jesup, GA
• Providers in Jesup, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.