Individual provider Active NPI

Mary Williams, PNP-PC

  • Pediatric Nurse Practitioner
  • Daphne, AL
National Provider Identifier
1972278935
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1-175325 Issued in AL
Practice address
6883 US Highway 90 Ste 108
Daphne, AL 36526-9611
Phone
(251) 318-2601
Fax
(251) 318-2602
NPI assigned
Aug 11, 2021
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1-175325 AL Primary

Addresses

Primary practice location

6883 US Highway 90 Ste 108
Daphne, AL 36526-9611

Mailing address

1700 Center St
Mobile, AL 36604-3301
Phone (251) 415-1000

Other practice location 1

1700 Center St
Mobile, AL 36604-3301
Phone (251) 415-1000

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
I20260311003253 AL Practitioner - Nurse Practitioner 9931682598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

650 Clinic Dr
Mobile, AL 36688

PO Box
Suite 746450
Atlanta, GA 30374-6450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-175325ALMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
USA Health Physician Billing Services LLC CurrentSince Feb 1, 2026 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Feb 1, 2026 Accepting new patients
Shahid Mansoor MD, Apmc PastSince Aug 15, 2021 Accepting new patients
Children's Urgent Care, LLC PastSince Nov 30, 2020 Accepting new patients

Locations

1700 Center St
Mobile, AL 36604
Phone (251) 415-1000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1972278935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CENTER ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366043301",
            "telephone_number": "251-415-1000",
            "fax_number": "251-415-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6883 US HIGHWAY 90 STE 108",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269611",
            "telephone_number": "251-318-2601",
            "fax_number": "251-318-2602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Center St",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366043301",
            "country_code": "US",
            "telephone_number": "251-415-1000",
            "fax_number": "251-415-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "PNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-175325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

Verify at the official NPI Registry.