Individual provider Active NPI

Larry Jordan Williams, APRN

  • Gerontology Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1851830558
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN9297316 Issued in FL
Practice address
4724 N Davis Hwy # 100
Pensacola, FL 32503-2339
Phone
(850) 201-2421
Fax
(850) 886-2235
NPI assigned
Feb 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X ARNP9297316 FL
Nurse Practitioner 363L00000X APRN9297316 FL
Gerontology Nurse Practitioner 363LG0600X APRN9297316 FL Primary
Family Nurse Practitioner 363LF0000X APRN9297316 FL

Addresses

Primary practice location

4724 N Davis Hwy # 100
Pensacola, FL 32503-2339

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

161 E Nine Mile Rd # 100
Pensacola, FL 32534-3140
Phone (850) 201-2422

Other practice location 2

1301 Belleville Ave
Brewton, AL 36426-1306
Phone (850) 201-2419

Other practice location 3

1549 Airport Blvd Ste 440
Pensacola, FL 32504-8634
Phone (850) 201-2418

Other identifiers 1

IdentifierTypeStateIssuer
021071000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170712000087 FL Practitioner - Nurse Practitioner 4789953423 Reassigns benefits to 4 organizations
I20220526002036 AL Practitioner - Nurse Practitioner 4789953423 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Woodlands Medical Specialists P aGroup PAC ID 1052469681, 48 clinicians
Florida Cancer Specialists and Research Institute, LLCGroup PAC ID 2567356058, 464 clinicians

Practice addresses (Care Compare)

1301 Belleville Ave
Brewton, AL 36426-1306
Phone (850) 696-4000

1549 Airport Blvd
Suite 440
Pensacola, FL 32504-8634
Phone (850) 696-4000

4724 N Davis Hwy
Suite 100
Pensacola, FL 32503-2339
Phone (850) 201-2421

Hospital & facility affiliations

  • D W McMillan Memorial Hospital Hospital, Brewton, AL, CCN 010099
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093
  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266
  • Atmore Community Hospital Hospital, Atmore, AL, CCN 010169

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9297316FLMDAcute Care Nurse Practitioner
APRN9297316FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Physician Services of Florida PA Nurse Practitioner CurrentSince Aug 1, 2019 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Mar 1, 2026 Accepting new patients
Hni Medical Services of Florida, LLC Nurse Practitioner CurrentSince Sep 1, 2020 Accepting new patients
Woodlands Medical Specialists P a CurrentSince Apr 18, 2022 Accepting new patients

Locations

1301 Belleville Ave
Brewton, AL 36426
Phone (251) 809-8439

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

4724 N Davis Hwy
Ste 100
Pensacola, FL 32503
Phone (850) 201-2421

4724 N Davis Hwy
Pensacola, FL 32503
Phone (850) 444-4716

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

161 E Nine Mile Rd
Pensacola, FL 32534
Phone (239) 432-8500

1549 Airport Blvd
Ste 440
Pensacola, FL 32504
Phone (850) 201-2418

4724 N Davis Hwy
#100
Pensacola, FL 32503
Phone (850) 201-2421

161 E Nine Mile Rd
#100
Pensacola, FL 32534
Phone (850) 201-2422

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

Interoperability endpoints

  • Direct secure messaging: jordan.williams@woodlands.ikm.direct-ci.com

Organizations & group practices 4

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 5

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": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1851830558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 N DAVIS HWY # 100",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032339",
            "telephone_number": "850-201-2421",
            "fax_number": "850-886-2235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 E Nine Mile Rd # 100",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325343140",
            "country_code": "US",
            "telephone_number": "850-201-2422",
            "fax_number": "850-886-2229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Belleville Ave",
            "address_purpose": "LOCATION",
            "city": "Brewton",
            "state": "AL",
            "postal_code": "364261306",
            "country_code": "US",
            "telephone_number": "850-201-2419",
            "fax_number": "251-930-6028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1549 Airport Blvd Ste 440",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325048634",
            "country_code": "US",
            "telephone_number": "850-201-2418",
            "fax_number": "850-886-2101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LARRY",
        "middle_name": "JORDAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-15",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP9297316",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9297316",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN9297316",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9297316",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021071000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.