Mya L Williams, APRN
Individual provider Active NPI Family Nurse Practitioner · Kennesaw, GA
NPI 1831638006 · NPPES record last updated Jul 28, 2026
Key facts
- NPI
- 1831638006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN189763 (GA)
- Practice address
- 1300 Ridenour Blvd NW Ste 300
Kennesaw, GA 30152-4402 - Phone
- (770) 693-0810
- NPI assigned
- Feb 21, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Applebaum Physiatry PLLC
Mak Anesthesia Holdings, LLC
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
- Wellstar Cobb 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 |
|---|---|---|---|---|
| I20170522002058 | GA | Practitioner - Nurse Practitioner | 1951678010 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Post Acute Care Leaders LLC | Nurse Practitioner | Current |
Accepting new patients |
| Applebaum Physiatry PLLC | Family | Current |
Accepting new patients |
| Mak Anesthesia Holdings LLC | Current |
Accepting new patients | |
| Homestead Hospice of Cartersville, LLC | Current |
Accepting new patients | |
| Cobbwest Internal Medicine Associates | Current |
Accepting new patients | |
| Amity Care, LLC | Current |
Accepting new patients | |
| Thrive Counseling LLC | Past |
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
4500 Hospital Blvd
Ste 210
Roswell, GA 30076
4441 Atlanta Rd SE
Ste 312
Smyrna, GA 30080
Phone (470) 956-4200
128 S East St
Unit 1109
Crown Point, IN 46308
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN189763 | GA | Yes |
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
3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 702-1806
Other practice location 2
2713 Charles Hardy Pkwy
Ste 223
Dallas, GA 30157-9470
Phone (678) 324-7021
NPI Registry JSON
{
"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": "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"
},
{
"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"
}
],
"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
- Kieara Monee Williams
- Kimberly Williams
- Kristian Williams
- Latrice Williams
- Leslie Beth Williams
- Olivia Williams
- Olivia Kate Williams
- Anjali Williamson
- Stacey Willingham
- Willis Chiropractic Center LLC
All providers in Kennesaw, 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 Jul 28, 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.