Individual provider Active NPI

Nadine N Williams, A-GNP-C, PMHNP-C

  • Nurse Practitioner
  • Winder, GA
National Provider Identifier
1861084881
Registry record updated Jan 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN188664 Issued in GA
Practice address
138 Park Ave Ste 206
Winder, GA 30680-2365
Phone
(770) 240-4849
Fax
(678) 737-1743
NPI assigned
Feb 10, 2021
Last updated
Jan 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN188664 GA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN188664 GA
Primary Care Nurse Practitioner 363LP2300X RN188664 GA

Addresses

Primary practice location

138 Park Ave Ste 206
Winder, GA 30680-2365

Mailing address

138 Park Ave Ste 206
Winder, GA 30680-2365
Phone (770) 240-4849

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
I20250326002402 GA Practitioner - Nurse Practitioner 6709309107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN188664GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical & Mental Holistic Healthcare CurrentSince Sep 8, 2025 Accepting new patients
Pophealthcare Medical Services of Ga, LLC Nurse Practitioner CurrentSince Nov 6, 2025 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Jan 17, 2025 Accepting new patients

Locations

7544 Southlake Pkwy
Ste 102B
Jonesboro, GA 30236

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 458-0809

2 Sun Ct
Ste 400
Peachtree Corners, GA 30092
Phone (615) 721-7020

138 Park Ave
Ste 206
Winder, GA 30680
Phone (770) 240-4849

113 Seaboard Ln
Ste 200B
Franklin, TN 37067
Phone (615) 721-7020

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Interoperability endpoints

  • Direct secure messaging: nadine.williams.1@29290.direct.athenahealth.com
  • Direct secure messaging: nadine.williams@cinq-nyipa.medentdirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769817600000",
    "number": "1861084881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 PARK AVE STE 206",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802365",
            "telephone_number": "770-240-4849",
            "fax_number": "678-737-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 PARK AVE STE 206",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802365",
            "telephone_number": "770-240-4849",
            "fax_number": "678-737-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NADINE",
        "middle_name": "N",
        "credential": "A-GNP-C, PMHNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2026-01-31",
        "certification_date": "2026-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN188664",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN188664",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN188664",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winder, GA

Sources for this page

Verify at the official NPI Registry.