Individual provider Active NPI

Linda Rose Williams, APN

  • Family Nurse Practitioner
  • Decherd, TN
National Provider Identifier
1972608669
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11831 Issued in TN
Practice address
2006 Decherd Blvd Ste 2
Decherd, TN 37324-3818
Phone
(931) 967-7171
NPI assigned
Sep 14, 2006
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X TN APN 11831 TN
Family Nurse Practitioner 363LF0000X 11831 TN Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20061121000061 TN Practitioner - Nurse Practitioner 8628076999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amg-Southern Tennessee LLCGroup PAC ID 5991765943, 54 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TN APN 11831TNMDAcute Care Nurse Practitioner
11831TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Southern Tennessee LLC CurrentSince Jul 1, 2013 Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Jul 1, 2013 Accepting new patients
Amg-Southern Tennessee LLC Past Accepting new patients
Elk River Physicians Group, PLLC Past Accepting new patients
Amg -Southern Tennessee LLC 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

134 Hospital Rd
Winchester, TN 37398
Phone (931) 598-5691

185 Hospital Rd
Winchester, TN 37398
Phone (931) 962-4061

1894 Cowan Hwy
Ste 2
Winchester, TN 37398
Phone (931) 962-1020

2118 Cowan Hwy
Winchester, TN 37398
Phone (931) 962-4040

83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966

Interoperability endpoints

  • Direct secure messaging: linda.williams.1@19363.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1972608669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373980399",
            "telephone_number": "931-962-4040",
            "fax_number": "931-962-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 DECHERD BLVD STE 2",
            "city": "DECHERD",
            "state": "TN",
            "postal_code": "373243818",
            "telephone_number": "931-967-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LINDA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "TN APN 11831",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "11831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decherd, TN

Sources for this page

Verify at the official NPI Registry.