Individual provider Active NPI

Nicole Ashley Williamson, FNP

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1942886676
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
GAA-NP000243 Issued in GA
Practice address
5702 Amalie Dr
Nashville, TN 37211-5993
Phone
(615) 945-0876
NPI assigned
Mar 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28244 TN
Family Nurse Practitioner 363LF0000X GAA-NP000243 GA Primary

Addresses

Primary practice location

5702 Amalie Dr
Nashville, TN 37211-5993

Mailing address

5702 Amalie Dr
Nashville, TN 37211-5993
Phone (615) 945-0876

Other practice location 1

4475 W Village Pkwy
Ellenwood, GA 30294-2869
Phone (770) 507-7950

Other practice location 2

2000 E West Connector
Austell, GA 30106-1194
Phone (731) 394-1145

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220610001654 GA Practitioner - Nurse Practitioner 1951789452 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians
Ultra Health Providers II LLCGroup PAC ID 5395284616, 39 clinicians
Grady Memorial Hospital CorporationGroup PAC ID 7517032998, 365 clinicians

Practice addresses (Care Compare)

1220 Caroline St NE
Suite a 230
Atlanta, GA 30307-2749
Phone (678) 710-3980

2000 E W Connector
Austell, GA 30106-1194
Phone (731) 394-1145

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3050
Phone (404) 616-8880

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as group
Quality
87.56
Promoting interoperability
100
Improvement activities
40
Cost
75.14

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GAA-NP000243GAMDFamily Nurse Practitioner
28244TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Immediate Care FP, LLC CurrentSince Nov 25, 2025 Accepting new patients
Ultra Health Providers II LLC CurrentSince Dec 10, 2025 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince May 1, 2022 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince May 1, 2022 Accepting new patients
Grady Memorial Hospital Corporation Past Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

80 Jesse Hill Jr Dr SE
#26019
Atlanta, GA 30303
Phone (404) 616-2219

1220 Caroline St NE
Ste A230
Atlanta, GA 30307
Phone (678) 710-3980

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

1901 W Screven St
Quitman, GA 31643
Phone (229) 263-6100

Interoperability endpoints

  • Direct secure messaging: nicole.williamson@488678167609348.direct.elationemr.com

Organizations & group practices 5

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": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1942886676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5702 AMALIE DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372115993",
            "telephone_number": "615-945-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5702 AMALIE DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372115993",
            "telephone_number": "615-945-0876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4475 W Village Pkwy",
            "address_purpose": "LOCATION",
            "city": "Ellenwood",
            "state": "GA",
            "postal_code": "302942869",
            "country_code": "US",
            "telephone_number": "770-507-7950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 E West Connector",
            "address_purpose": "LOCATION",
            "city": "Austell",
            "state": "GA",
            "postal_code": "301061194",
            "country_code": "US",
            "telephone_number": "731-394-1145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "NICOLE",
        "middle_name": "ASHLEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28244",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP000243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.