Adrienne Williams, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

905451 Issued in MS

Practice address

6952 Dogwood MNR N Ste 103
Olive Branch, MS 38654-2091

Phone

(662) 874-6921

Fax

(662) 932-2921

NPI assigned

Sep 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• TMK Enterprises

  dba Southern Grace Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Southaven, MS
  • NPI 1184251795
  NPD
• Masterpiece Counseling and Health Services, PLLC

  • Mental Health Counselor
  • Olive Branch, MS
  • NPI 1811565625
  NPD (past)

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1932820859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6952 DOGWOOD MNR N STE 103",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386542091",
            "telephone_number": "662-874-6921",
            "fax_number": "662-932-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6952 DOGWOOD MNR N STE 103",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386542091",
            "telephone_number": "662-874-6921",
            "fax_number": "662-932-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ADRIENNE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "905451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atricia R White, FNP
• Maya Simone White, DDS
• Shiquita White, DC
• David Ray Wilkins II, PHD
• Y'Esha Williams-Click, PHD, DNP, PMHNP-BC
• Danny Williams Jr.
• Gheri Williams, RN
• Latonia Williams, NURSE PRACTITIONER
• Mallory Williams, LMSW LSSW
• Serenity Williams, P-LPC

• Psychiatric/Mental Health Nurse Practitioner in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.