Individual provider Active NPI

Lawanda Shaunta Williams, FNP

  • Family Nurse Practitioner
  • Sandersville, GA
National Provider Identifier
1851010466
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP164305 Issued in GA
Practice address
610 Ferncrest Dr Ste B
Sandersville, GA 31082-1863
Phone
(478) 552-9000
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP164305 GA Primary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X F08220908 GA

Addresses

Primary practice location

610 Ferncrest Dr Ste B
Sandersville, GA 31082-1863

Mailing address

521 Youngblood St
Swainsboro, GA 30401-5427
Phone (478) 299-9003

Other practice location 1

117 Kite Rd
Swainsboro, GA 30401-3231
Phone (478) 289-1100

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
I20221012000032 GA Practitioner - Nurse Practitioner 8820464159 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emanuel Prompt CareGroup PAC ID 4385172428, 5 clinicians

Practice addresses (Care Compare)

119 B Victory Dr
Swainsboro, GA 30401-3234
Phone (478) 237-7676

125 A Victory Dr
Swainsboro, GA 30401-3234
Phone (478) 289-3190

5 Medical Office Way
Swainsboro, GA 30401-3262
Phone (478) 237-2238

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-NP164305GAMDFamily Nurse Practitioner
F08220908GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emanuel Prompt Care Single Specialty CurrentSince Sep 23, 2024 Accepting new patients
Emanuel County Hospital Authority Single Specialty CurrentSince Sep 22, 2022 Accepting new patients
Hospital Authority of Washington County Single Specialty CurrentSince Oct 1, 2022 Accepting new patients
Emanuel County Hospital Authority Single Specialty CurrentSince Sep 22, 2022 Accepting new patients
Hospital Authority of Washington County Single Specialty CurrentSince Oct 1, 2022 Accepting new patients
Emanuel County Hospital Authority Past Accepting new patients

Locations

610 Ferncrest Dr
Ste B
Sandersville, GA 31082
Phone (478) 552-9000

610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000

131A Victory Dr
Ste A
Swainsboro, GA 30401

131 Victory Dr
#C
Swainsboro, GA 30401

131A Victory Dr
Swainsboro, GA 30401
Phone (478) 237-8342

117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725

305 Kite Rd
Swainsboro, GA 30401
Phone (478) 237-2144

5 Medical Office Way
Swainsboro, GA 30401
Phone (478) 237-2238

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1851010466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 YOUNGBLOOD ST",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304015427",
            "telephone_number": "478-299-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 FERNCREST DR STE B",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821863",
            "telephone_number": "478-552-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Kite Rd",
            "address_purpose": "LOCATION",
            "city": "Swainsboro",
            "state": "GA",
            "postal_code": "304013231",
            "country_code": "US",
            "telephone_number": "478-289-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LAWANDA",
        "middle_name": "SHAUNTA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP164305",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F08220908",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandersville, GA

Sources for this page

Verify at the official NPI Registry.