Individual provider Active NPI

Jelesa Shaneice Williams, NP

  • Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1922423326
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-131026 Issued in AL
Practice address
4000 Eagle Point Corporate Dr
Birmingham, AL 35242-1900
Phone
(877) 868-5351
Fax
(877) 900-5078
NPI assigned
Feb 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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 1-131026 AL Primary

Addresses

Primary practice location

4000 Eagle Point Corporate Dr
Birmingham, AL 35242-1900

Mailing address

4055 Valley View LN Ste 400
Dallas, TX 75244-5071
Phone (877) 868-5351

Other names 1

  • Jelesa Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20180813003175 AL Practitioner - Nurse Practitioner 0648528331 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-131026ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Alabama LLC CurrentSince Mar 26, 2018 Accepting new patients
Quality of Life Health Services Inc Current Accepting new patients
Quality of Life Health Services, Inc. Current Accepting new patients
Quality of Life Health Services, Inc CurrentSince Oct 16, 2019 Accepting new patients
Quality of Life Health Services Inc CurrentSince Oct 16, 2019 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Jun 11, 2021 Accepting new patients

Locations

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280

1409 Springfield Ave
Gadsden, AL 35903
Phone (256) 439-6383

502 N 27th St
Gadsden, AL 35904
Phone (256) 546-0073

1 Perimeter Park S
Ste 100N
Mountain Brook, AL 35243
Phone (205) 936-2356

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

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

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1393027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1922423326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 VALLEY VIEW LN STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445071",
            "telephone_number": "877-868-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 EAGLE POINT CORPORATE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352421900",
            "telephone_number": "877-868-5351",
            "fax_number": "877-900-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JELESA",
        "middle_name": "SHANEICE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-22",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-131026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JELESA",
            "last_name": "WILLIAMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.