Individual provider Active NPI

Stacey Hodges Williford, NP

  • Nurse Practitioner
  • Sandersville, GA
National Provider Identifier
1740616721
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-NP149431 Issued in GA
Practice address
524 Sparta Rd
Sandersville, GA 31082-1376
Phone
(478) 412-2880
Fax
(478) 412-2881
NPI assigned
Sep 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN149431 GA
General Practice Registered Nurse 163WG0000X RN149431 GA
Family Nurse Practitioner 363LF0000X RN149431 GA
Family Nurse Practitioner 363LF0000X NP149431 GA
Nurse Practitioner 363L00000X APRN-NP149431 GA Primary
General Practice Physician 208D00000X NP149431 GA

Addresses

Primary practice location

524 Sparta Rd
Sandersville, GA 31082-1376

Mailing address

2173 Mount Zion Rd
Warthen, GA 31094-4259
Phone (478) 412-2880

Other practice location 1

2173 Mount Zion Rd
Warthen, GA 31094-4259
Phone (478) 412-2880

Other practice location 2

601 Ferncrest Dr Bldg A
Sandersville, GA 31082-1800
Phone (478) 412-2880

Other practice location 3

1000 Cowles Clinic Way
Suite E-100 Elm Cottage
Greensboro, GA 30642-5285
Phone (762) 445-1086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20131114001270 GA Practitioner - Nurse Practitioner 7416183702 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stacey H Williford LLCGroup PAC ID 5092198580, 7 clinicians

Practice addresses (Care Compare)

601 Ferncrest Dr
Suite 2
Sandersville, GA 31082-1892
Phone (478) 412-2880

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-NP149431GAMDNurse Practitioner
NP149431GAMDFamily Nurse Practitioner
RN149431GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC CurrentSince Oct 7, 2022 Accepting new patients
Privia Medical Group of Georgia LLC General Practice CurrentSince Oct 7, 2022 Accepting new patients
Medical Office Force CurrentSince Feb 1, 2025 Accepting new patients
Stacey H Williford LLC General Practice CurrentSince Aug 3, 2022 Accepting new patients

Locations

2005 Prince Ave
Athens, GA 30606
Phone (706) 296-8632

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

1000 Cowles Clinic Way
Ste E-100
Greensboro, GA 30642
Phone (478) 412-2880

601 Ferncrest Dr
Ste 2
Sandersville, GA 31082
Phone (478) 240-2090

601 Ferncrest Dr
Bldg A
Sandersville, GA 31082
Phone (478) 412-2880

524 Sparta Rd
Sandersville, GA 31082
Phone (478) 412-2880

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1740616721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2173 MOUNT ZION RD",
            "city": "WARTHEN",
            "state": "GA",
            "postal_code": "310944259",
            "telephone_number": "478-412-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 SPARTA RD",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821376",
            "telephone_number": "478-412-2880",
            "fax_number": "478-412-2881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2173 Mount Zion Rd",
            "address_purpose": "LOCATION",
            "city": "Warthen",
            "state": "GA",
            "postal_code": "310944259",
            "country_code": "US",
            "telephone_number": "478-412-2880",
            "fax_number": "478-412-2881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Ferncrest Dr Bldg A",
            "address_purpose": "LOCATION",
            "city": "Sandersville",
            "state": "GA",
            "postal_code": "310821800",
            "country_code": "US",
            "telephone_number": "478-412-2880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Cowles Clinic Way",
            "address_2": "Suite E-100 Elm Cottage",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "GA",
            "postal_code": "306425285",
            "country_code": "US",
            "telephone_number": "762-445-1086",
            "fax_number": "478-412-2881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIFORD",
        "first_name": "STACEY",
        "middle_name": "HODGES",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN149431",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "GA",
            "license": "RN149431",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN149431",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "NP149431",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP149431",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "NP149431",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandersville, GA

Sources for this page

Verify at the official NPI Registry.