Individual provider Active NPI

Tracey Nicole Williams, CRNA

  • Certified Registered Nurse Anesthetist
  • Rock Hill, SC
National Provider Identifier
1770733164
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
17704 Issued in SC
Practice address
222 S Herlong Ave
Rock Hill, SC 29732-1158
Phone
(803) 329-6711
Fax
(803) 329-5120
NPI assigned
Sep 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9234711 FL
Certified Registered Nurse Anesthetist 367500000X 17704 SC Primary

Addresses

Primary practice location

222 S Herlong Ave
Rock Hill, SC 29732-1158

Mailing address

PO Box 2974
Rock Hill, SC 29732-4974
Phone (803) 329-6711

Other identifiers 1

IdentifierTypeStateIssuer
AN2200MedicaidSC

Other names 1

  • Tracey Nicole Williams-Alexander Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081010000465 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335217835 Reassigns benefits to 7 organizations
I20120330000480 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335217835 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians

Practice addresses (Care Compare)

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (813) 321-6589

700 Medical Blvd
Englewood, FL 34223-3964
Phone (941) 475-6571

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
17704SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
James G Hankerson PA Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 6, 2018 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2023 Accepting new patients
Anesthesia Associates of Rock Hill, P.a. CurrentSince Mar 12, 2012 Accepting new patients
SMH Physician Services Inc CurrentSince May 1, 2023 Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 24, 2022 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Jan 5, 2026 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 10, 2023 Accepting new patients
Sunshine State Anesthesia Partners LLC CurrentSince Jan 6, 2023 Accepting new patients
Carolina Hyperbaric and Consultation Services LLC Past Accepting new patients
South Florida Gastroenterology Associates PA PastSince Mar 3, 1997 Accepting new patients

Locations

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

700 Medical Blvd
Englewood, FL 34223
Phone (941) 473-5001

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

2600 Laurel Rd E
North Venice, FL 34275
Phone (941) 261-9000

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1715 N West Shore Blvd
Ste 190
Tampa, FL 33607
Phone (813) 870-1000

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

2727 W Mlk Blvd
Ste 100
Tampa, FL 33607
Phone (813) 357-5900

6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242

109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 12

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": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384214400000",
    "number": "1770733164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2974",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297324974",
            "telephone_number": "803-329-6711",
            "fax_number": "803-329-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S HERLONG AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321158",
            "telephone_number": "803-329-6711",
            "fax_number": "803-329-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TRACEY",
        "middle_name": "NICOLE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2013-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9234711",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "17704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN2200",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "WILLIAMS-ALEXANDER",
            "middle_name": "NICOLE",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.