Tina Williams, FNP-BC, CNM

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN192734 Issued in GA

Practice address

465 Winn Way Ste 221
Decatur, GA 30030-1723

Phone

(404) 292-3810

NPI assigned

Apr 6, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tina.williams.p1@direct.alegiscare.nextgenshare.com
• Direct secure messaging: tina.williams.1@25119.direct.athenahealth.com

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  GA, Psychiatric/Mental Health

  Medicare reassignment NPD
• Vital Integrative Solutions LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Atlanta, GA
  • NPI 1225719677
  NPD Authorized official

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1871818526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 WINN WAY STE 221",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301723",
            "telephone_number": "404-474-8491",
            "fax_number": "404-298-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WINN WAY STE 221",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301723",
            "telephone_number": "404-292-3810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "868 York Ave SW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303102750",
            "country_code": "US",
            "telephone_number": "404-752-1400",
            "fax_number": "404-752-7296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5885 Glenridge Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303285572",
            "country_code": "US",
            "telephone_number": "678-321-8546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TINA",
        "credential": "FNP-BC, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2023-04-17",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN192734",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN192734",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN192734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawntell M Williams
• Sherry Ann Williams
• Shian Williams, CCC-SLP
• Tarneisha Williams, NP
• Tiera Shanae Williams, PHARMD, RPH
• Yvonne Williams, CRT
• Ashley Williamson
• Ellen Gena Williamson, MSW
• La'Sherraneta Williamson, LPC
• Meredith Williamson, PSY.D.

• Psychiatric/Mental Health Nurse Practitioner in Decatur, GA
• Providers in Decatur, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.