Active NPI
Whitney Nicole Williams, CPNP
- Nurse Practitioner
- Madison, GA
National Provider Identifier
1902144637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN205403
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN205403 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloom Pediatrics | Current | Accepting new patients | |
| Locust Grove Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Pediatric Nurse Practitioner
- Madison, GA
- NPI 1750264420
-
- Pediatrics Physician
- Locust Grove, GA
- NPI 1174693519
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.