Kimberly Lashon Williams, APRN, MSN, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Quitman, GA
NPI 1760212419 · NPPES record last updated Aug 3, 2026
Key facts
- NPI
- 1760212419
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN244752 (GA)
- Practice address
- 457 Jamar TRL
Quitman, GA 31643-5832 - Phone
- (229) 560-7915
- NPI assigned
- Aug 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Access Medical Clinic Georgia LLC
Practice addresses (Care Compare)
304 N Westberry St
Sylvester, GA 31791-2125
Phone (229) 463-7071
Hospital & facility affiliations
- Tift Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250826002206 | GA | Practitioner - Nurse Practitioner | 3678073301 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN244752 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Medical Clinic Georgia LLC | Current |
Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current |
Accepting new patients | |
| Access Medical Clinic Georgia LLC | Current |
Accepting new patients | |
| Access Medical Clinic Georgia LLC | Current | Accepting new patients |
Locations
4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100
289 S Culver St
Lawrenceville, GA 30046
Phone (404) 891-9833
500 Stanley St
Perry, GA 31069
Phone (229) 463-7071
304 N Westberry St
Sylvester, GA 31791
Phone (229) 463-7071
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- kimberly.williams.1@22235.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN244752 | GA | Yes |
Addresses
Primary practice location
457 Jamar TRL
Quitman, GA 31643-5832
Mailing address
457 Jamar TRL
Quitman, GA 31643-5832
Other providers in Quitman, GA
- Jennifer Wade
- Walgreen Co
- Linda Lafaye Walker
- Sondra Ann Wallace
- Lauren Warren
- Bridgette Wrice
- Makenzi Wrice
All providers in Quitman, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.