Linda Rose Williams, APN
Individual provider Active NPI Family Nurse Practitioner · Decherd, TN
NPI 1972608669 · NPPES record last updated Feb 24, 2025
Key facts
- NPI
- 1972608669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11831 (TN)
- Practice address
- 2006 Decherd Blvd Ste 2
Decherd, TN 37324-3818 - Phone
- (931) 967-7171
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Amg-Southern Tennessee LLC
Practice addresses (Care Compare)
2006 Decherd Blvd
Decherd, TN 37324-3818
Phone (931) 967-0931
2008 Decherd Blvd
Decherd, TN 37324-3818
Phone (931) 967-0931
81 Memorial Dr
Winchester, TN 37398-2401
Phone (931) 967-0450
83 Memorial Dr
Winchester, TN 37398-2401
Phone (931) 967-3966
Hospital & facility affiliations
- Southern Tennessee Regional Health System Winchest
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061121000061 | TN | Practitioner - Nurse Practitioner | 8628076999 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TN APN 11831 | TN | MD | Acute Care Nurse Practitioner |
| 11831 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amg-Southern Tennessee LLC | Current |
Accepting new patients | |
| Amg-Southern Tennessee LLC | Current |
Accepting new patients | |
| Amg -Southern Tennessee LLC | Past | Accepting new patients | |
| Amg-Southern Tennessee LLC | Past | Accepting new patients | |
| Elk River Physicians Group, PLLC | Past | Accepting new patients |
Locations
2006 Decherd Blvd
Decherd, TN 37324
Phone (931) 962-0561
2006 Decherd Blvd
Ste 2
Decherd, TN 37324
Phone (931) 967-7171
1894 Cowan Hwy
Ste 2
Winchester, TN 37398
Phone (931) 962-4040
134 Hospital Rd
Winchester, TN 37398
Phone (931) 598-5691
83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966
185 Hospital Rd
Winchester, TN 37398
Phone (931) 962-4061
2118 Cowan Hwy
Winchester, TN 37398
Phone (931) 962-4040
Interoperability endpoints
- linda.williams.1@19363.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | TN APN 11831 | TN | |
| Family Nurse Practitioner | 363LF0000X | 11831 | TN | Yes |
Addresses
Primary practice location
2006 Decherd Blvd Ste 2
Decherd, TN 37324-3818
Mailing address
PO Box 399
Winchester, TN 37398-0399
Phone (931) 962-4040
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3643989 | Medicaid | TN |
Other providers in Decherd, TN
- Mark A Vann
- Walgreen Co
- Lexi Watson
- Brittney Whitmore
- Tiffany Nicole Wiley-Cox
- Winchester Christian Healthcare, LLC
- David Alan Zimmerman
All providers in Decherd, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.