Individual provider Active NPI

Andrea Noel Williams, RN

  • College Health Registered Nurse
  • Atlanta, GA
National Provider Identifier
1790425536
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
College Health Registered NurseTaxonomy code 163WC1400X
License
RN228128 Issued in GA
Practice address
1525 Clifton Rd NE
Atlanta, GA 30322-4200
Phone
(404) 727-7551
Fax
(404) 712-8217
NPI assigned
Mar 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
College Health Registered Nurse 163WC1400X RN228128 GA Primary

Addresses

Primary practice location

1525 Clifton Rd NE
Atlanta, GA 30322-4200

Mailing address

2178 Holly Hill Dr
Decatur, GA 30032-5715
Phone (404) 200-8748

Other names 1

  • Andi Noel Williams Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN228128GAMDCollege Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1790425536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2178 HOLLY HILL DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300325715",
            "telephone_number": "404-200-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303224200",
            "telephone_number": "404-727-7551",
            "fax_number": "404-712-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANDREA",
        "middle_name": "NOEL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "GA",
            "license": "RN228128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDI",
            "last_name": "WILLIAMS",
            "middle_name": "NOEL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.