Active NPI
Justin K Williams, NP-C
- Gerontology Nurse Practitioner
- Macon, GA
National Provider Identifier
1962390591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- RN254892
- Practice address
- 5400 Bowman Rd Ste 100
Macon, GA 31210-8879 - Phone
- (478) 745-6576
- Fax
- (478) 746-0018
- NPI assigned
- Jun 24, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | RN254892 | GA | Primary |
Addresses
Primary practice location
5400 Bowman Rd Ste 100
Macon, GA 31210-8879
Mailing address
5400 Bowman Rd Ste 100
Macon, GA 31210-8879
Phone (478) 745-6576
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5400 Bowman Rd
Suite 100
Macon, GA 31210-8879
Phone 47874565761204
Hospital & facility affiliations
- Atrium Health Navicent the Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Specialists of Georgia | Current | Accepting new patients | |
| Gastroenterology Associates of Central Ga, LLC | Past | Accepting new patients |
Locations
5400 Bowman Rd
Ste 100
Macon, GA 31210
Phone (478) 745-6576
Interoperability endpoints
- jwilliams434636@carolinashealthcaresystem.direct-ci.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.
-
- Urology Physician
- Macon, GA
- NPI 1699786590
-
- Specialist
- Macon, GA
- NPI 1528192176
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1962390591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 BOWMAN RD STE 100",
"city": "MACON",
"state": "GA",
"postal_code": "312108879",
"telephone_number": "478-745-6576",
"fax_number": "478-746-0018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 BOWMAN RD STE 100",
"city": "MACON",
"state": "GA",
"postal_code": "312108879",
"telephone_number": "478-745-6576",
"fax_number": "478-746-0018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JUSTIN",
"middle_name": "K",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-24",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "GA",
"license": "RN254892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.