Individual provider Active NPI

Mya L Williams, APRN

  • Family Nurse Practitioner
  • Kennesaw, GA
National Provider Identifier
1831638006
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN189763 Issued in GA
Practice address
1300 Ridenour Blvd NW Ste 300
Kennesaw, GA 30152-4402
Phone
(770) 693-0810
NPI assigned
Feb 21, 2017
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN189763 GA Primary

Addresses

Primary practice location

1300 Ridenour Blvd NW Ste 300
Kennesaw, GA 30152-4402

Mailing address

1300 Ridenour Blvd NW Ste 300
Kennesaw, GA 30152-4402
Phone (770) 702-1806

Other practice location 1

2713 Charles Hardy Pkwy
Ste 223
Dallas, GA 30157-9470
Phone (678) 324-7021

Other practice location 2

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 702-1806

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
I20170522002058 GA Practitioner - Nurse Practitioner 1951678010 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Applebaum Physiatry PLLCGroup PAC ID 8729453436, 141 clinicians
Mak Anesthesia Holdings, LLCGroup PAC ID 4284917204, 370 clinicians

Practice addresses (Care Compare)

3150 Howell Mill Rd NW
Atlanta, GA 30327-2108
Phone (404) 351-8410

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 702-1806

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN189763GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Care Leaders LLC Nurse Practitioner CurrentSince Apr 27, 2021 Accepting new patients
Cobbwest Internal Medicine Associates CurrentSince Mar 6, 2017 Accepting new patients
Homestead Hospice of Cartersville, LLC CurrentSince Aug 25, 2022 Accepting new patients
Applebaum Physiatry PLLC Family CurrentSince Sep 1, 2024 Accepting new patients
Mak Anesthesia Holdings LLC CurrentSince Feb 1, 2025 Accepting new patients
Amity Care, LLC CurrentSince Jun 6, 2025 Accepting new patients
Thrive Counseling LLC PastSince Nov 29, 2021 Accepting new patients
Nursing Home Physician Group PLLC Past Accepting new patients

Locations

1800 Phoenix Blvd
Ste 12812
Atlanta, GA 30349
Phone (678) 525-7787

3150 Howell Mill Rd NW
Atlanta, GA 30327
Phone (404) 351-8410

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

156 Pine Knoll Dr
Carrollton, GA 30117
Phone (770) 832-8243

100 Market Place Blvd
Ste 301
Cartersville, GA 30121
Phone (678) 290-4817

2713 Charles Hardy Pkwy
Ste 223
Dallas, GA 30157
Phone (678) 324-7021

848 Hiram Acworth Hwy
Ste 200
Hiram, GA 30141
Phone (678) 324-7021

1300 Ridenour Blvd NW
Ste 300
Kennesaw, GA 30152
Phone (770) 693-0810

161 Village Pkwy NE
#7
Marietta, GA 30067
Phone (678) 402-5235

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

4441 Atlanta Rd SE
Ste 312
Smyrna, GA 30080
Phone (470) 956-4200

128 S East St
Unit 1109
Crown Point, IN 46308

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1831638006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 RIDENOUR BLVD NW STE 300",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524402",
            "telephone_number": "770-702-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 RIDENOUR BLVD NW STE 300",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524402",
            "telephone_number": "770-693-0810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2713 Charles Hardy Pkwy",
            "address_2": "Ste 223",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "GA",
            "postal_code": "301579470",
            "country_code": "US",
            "telephone_number": "678-324-7021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3950 Austell Rd",
            "address_purpose": "LOCATION",
            "city": "Austell",
            "state": "GA",
            "postal_code": "301061121",
            "country_code": "US",
            "telephone_number": "770-702-1806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MYA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN189763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.