Individual provider Active NPI

Whitney Nicole Williams, CPNP

  • Nurse Practitioner
  • Madison, GA
National Provider Identifier
1902144637
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN205403 Issued in GA
Practice address
2151 Eatonton Rd Ste H2
Madison, GA 30650-5086
Phone
(678) 583-5437
Fax
(833) 764-0731
NPI assigned
Jan 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN205403 GA Primary

Addresses

Primary practice location

2151 Eatonton Rd Ste H2
Madison, GA 30650-5086

Mailing address

2151 Eatonton Rd Ste H2
Madison, GA 30650-5086
Phone (706) 752-5153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN205403GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Pediatrics Current Accepting new patients
Locust Grove Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: wwilliams@lgp.pcc-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1902144637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 EATONTON RD STE H2",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306505086",
            "telephone_number": "706-752-5153",
            "fax_number": "833-764-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 EATONTON RD STE H2",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306505086",
            "telephone_number": "678-583-5437",
            "fax_number": "833-764-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "WHITNEY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN205403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.