Shelby Edwards Williams, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN270412 Issued in GA

Practice address

455 S Main St Ste 103
Hinesville, GA 31313-4354

Phone

(912) 876-6868

Fax

(912) 876-6566

NPI assigned

Sep 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shelby Dannielle Edwards Former name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pedsnow LLC

  • Pediatric Adolescent Medicine Physician
  • Hinesville, GA
  • NPI 1427616515
  Medicare reassignment NPD
• Pedsnow LLC

  • Pediatric Adolescent Medicine Physician
  • Pooler, GA
  • NPI 1255012753
  NPD

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1992427595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S MAIN ST STE 103",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134354",
            "telephone_number": "912-876-6868",
            "fax_number": "912-876-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S MAIN ST STE 103",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134354",
            "telephone_number": "912-876-6868",
            "fax_number": "912-876-6566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "863 W Oglethorpe Hwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Hinesville",
            "state": "GA",
            "postal_code": "313134491",
            "country_code": "US",
            "telephone_number": "912-391-1044",
            "fax_number": "912-301-3844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHELBY",
        "middle_name": "EDWARDS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN270412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "EDWARDS",
            "middle_name": "DANNIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jordan Williams
• Kashia Simone Williams
• Keshona Williams
• Lacie Anise Williams, PT, DPT
• Shaniyah Charnell Williams
• Takiya Williams
• Tara D Willifiord
• Adele Jean Wilson, OTR/L
• Kyesha Wilson
• Veronica Monique Wilson

• Nurse Practitioner in Hinesville, GA
• Providers in Hinesville, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.