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

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Applebaum Physiatry PLLC (141 clinicians)
Mak Anesthesia Holdings, LLC (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

  • Wellstar Cobb Medical Center Hospital · Austell, GA · CCN 110143

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 IDStateProvider typePAC IDDetails
I20170522002058 GA Practitioner - Nurse Practitioner 1951678010 Reassigns benefits to 5 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

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

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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 28, 2026.

{
    "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

All providers in Kennesaw, GA · Family Nurse Practitioner in Georgia

Sources for this page

Verify at the official NPI Registry.