Active NPI
Mya L Williams, APRN
- Family Nurse Practitioner
- Kennesaw, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN189763
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN189763 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Post Acute Care Leaders LLC | Nurse Practitioner | Current | Accepting new patients |
| Cobbwest Internal Medicine Associates | Current | Accepting new patients | |
| Homestead Hospice of Cartersville, LLC | Current | Accepting new patients | |
| Applebaum Physiatry PLLC | Family | Current | Accepting new patients |
| Mak Anesthesia Holdings LLC | 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
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.
-
- Anesthesiology Physician
- Kennesaw, GA
- NPI 1912452939
-
- Physical Medicine & Rehabilitation Physician
- Oak Brook, IL
- NPI 1700598059
Family, GA
-
- Community Based Hospice Care Agency
- Marietta, GA
- NPI 1942534722
-
- Internal Medicine Physician
- Dallas, GA
- NPI 1215277314
-
- Geriatric Medicine (Family Medicine) Physician
- Carrollton, GA
- NPI 1033689336
Nurse Practitioner
-
dba Eternal Faith Hospice and Palliative Care
- Clinic/Center
- Cartersville, GA
- NPI 1538807953
-
- Physical Medicine & Rehabilitation Physician
- Warrenville, IL
- NPI 1417703844
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wellstar Cobb Hospital
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.