Jessica Karen Williams, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN015549 Issued in GA

Practice address

200 Village Center Pkwy Ste 212
Stockbridge, GA 30281-9044

Phone

(770) 506-2443

Fax

(770) 506-2497

NPI assigned

Dec 2, 2017

Sex

Female

Sole proprietor

Yes

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

Enrolled in GA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1512172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1952816720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 PYTHON DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303497659",
            "telephone_number": "404-401-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VILLAGE CENTER PKWY STE 212",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819044",
            "telephone_number": "770-506-2443",
            "fax_number": "770-506-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JESSICA",
        "middle_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-02",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriel Williams, PHARMD
• Amanda Williams, FNP-C
• Darin Williams, PMHNP-BC
• Jacqueline Williams
• Jenell Williams
• Latoya Williams, APRN,BC
• Mechelle Williams, RDMS
• Melvin D Williams, PT
• Melvin J Williams Jr., MD
• Odelee Williams

• Dentist in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.