JACKIE ELIZABETH WILLIAMS (NPI# 1689810111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689810111 |
| Entity Type | Individual |
| Full Name | JACKIE ELIZABETH WILLIAMS |
| Credential | APRN-BC |
| Practice Address |
4780 Ashford Dunwoody Rd Suite A-266 Atlanta GA 30338-5564 |
| Mailing Address |
2690 Old Spanish Trl College Park GA 30349-4221 |
| Practice Telephone | 4042669881 |
| Mailing Telephone | 4045583151 |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2017-03-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
RN052983 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
RN052983 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922298975 | Jackie L Williams | Counselor | 2530 South Commerce, Ardmore, OK 73401 | 2007-07-26 |
| 1619172749 | Jackie B Williams | Chiropractor | 507 N Monroe St, Albany, GA 31701-2237 | 2007-06-19 |
| 1699380121 | Jackie Williams | Technician | 87 Swierkos Dr, Moundsville, WV 26041-4209 | 2020-09-11 |
| 1528481728 | Jackie Williams | Occupational Therapy Assistant | 22 Tuck Rd, Hampton, NH 03842-1225 | 2014-01-24 |
| 1285071738 | Jackie Augustus Williams | Obstetrics & Gynecology | 7556 Jackson Blvd, Forest Park, IL 60130-1854 | 2013-05-23 |
| 1003993619 | Jackie Allen Williams | Social Worker | 4800 Whitesport Cir Sw, #2, Huntsville, AL 35801-6444 | 2006-11-01 |
| Street Address |
4780 ASHFORD DUNWOODY RD SUITE A-266 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30338-5564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588727978 | Psychiatric Consultative Services, L.L.C. | Registered Nurse | 4780 Ashford Dunwoody Rd, Suite A 226, Atlanta, GA 30338-5504 | 2006-12-18 |
| 1740677376 | Natasha James | Home Health | 4780 Ashford Dunwoody Rd, Atlanta, GA 30338-5564 | 2015-04-21 |
| 1376823765 | Tochukwu Yaba | Pharmacist | 4780 Ashford Dunwoody Rd, Ste. A273, Atlanta, GA 30338-5564 | 2011-08-17 |
| 1952610610 | Donna L Gardner | Psychologist | 4780 Ashford Dunwoody Rd, Suite A540 - Pmb# 202, Atlanta, GA 30338-5564 | 2010-09-29 |
| 1275784332 | Patricia R Harris | Clinical Nurse Specialist | 4780 Ashford Dunwoody Rd, Suite A-266, Atlanta, GA 30338-5564 | 2008-10-08 |
| 1508053364 | West Side Medical and Physical Therapy | Physical Medicine & Rehabilitation | 4780 Ashford Dunwoody Rd, Suite A-617, Atlanta, GA 30338-5564 | 2007-09-26 |
| 1982724209 | Medix Radiology Services LLC | Radiology | 4780 Ashford Dunwoody Rd, Suite A-433, Atlanta, GA 30338-5504 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629606264 | Jasmine Donesha Shackelford | Student in an Organized Health Care Education/Training Program | Emory Family Medicine, 4500 North Shallowford Road, Atlanta, GA 30338 | 2020-03-30 |
| 1558907774 | Brianna Harding | Pharmacist | 4608 Devonshire Road, Dunwoody, GA 30338 | 2019-11-22 |
| 1194382135 | Kadan Corporation | In Home Supportive Care | 1848 Independence Square, Suite A, Dunwoody, GA 30338 | 2019-05-24 |
| 1144789553 | Carla Fabiola Nunez | Dentist | 5200 Roberts Dr, Atlanta, GA 30338 | 2019-03-15 |
| 1861978793 | Uhs of Peachford Lp | Pharmacy | 2150 Peachford Rd Ste D, Atlanta, GA 30338 | 2018-07-13 |
| 1275047474 | Mary Rose Ziemba | Physical Therapist | 4516 Chamblee Dunwoody Rd # 22, Dunwoody, GA 30338 | 2017-11-27 |
| 1992223531 | Joel Moorhead | Physical Medicine & Rehabilitation | 1521 Eidson Hall Drive, Dunwoody, GA 30338 | 2017-09-05 |
| 1336667997 | Absolute Holistic Medicine | Clinic/Center | 1868 Independence Sq, Suite A, Atlanta, GA 30338 | 2017-09-05 |
| 1164947115 | Modern Dermatology Atlanta | Dermatology | 5696 Whitehall Walk, Dunwoody, GA 30338 | 2017-08-11 |
| 1366972150 | A Caring Approach To Home Health Services Inc. | In Home Supportive Care | 200 Ashford Center North, Suite 370, Atlanta, GA 30338 | 2017-06-14 |
| Find all providers in zip 30338 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346638285 | Robin Raiken Bledsoe | Clinical Nurse Specialist | 458 Ponce De Leon Ave Ne, Atlanta, GA 30308-1836 | 2014-12-30 |
| 1902049398 | Robert Davis Cannon | Clinical Nurse Specialist | 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1764 | 2009-04-14 |
| 1568632792 | Sharon C Grover | Clinical Nurse Specialist | 20 Glenlake Parkway, Atlanta, GA 30328 | 2008-03-04 |
| 1710157813 | Pearl I Billings-wilkinson | Clinical Nurse Specialist | 341 Ponce De Leon Ave Ne, Atlanta, GA 30308-2012 | 2008-03-04 |
| 1629282785 | Joann Jude Karaga | Clinical Nurse Specialist | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932529021 | Dorothy Rainey | Clinical Nurse Specialist | 2553 Fieldstone Dr Se, Conyers, GA 30013-1945 | 2014-04-16 |
| 1245571082 | Deborah A. Becker | Clinical Nurse Specialist | 205 Dental Dr Ste 3, Warner Robins, GA 31088-8210 | 2013-03-04 |
| 1295062289 | Jane A. Frederick | Clinical Nurse Specialist | 1100 S Marietta Pkwy Se # Md9004, Marietta, GA 30060 | 2009-11-11 |
| 1548445091 | Jan T Nodine | Clinical Nurse Specialist | 1561 Tappan Spur Rd, Watkinsville, GA 30677-3845 | 2008-01-03 |
| 1770791337 | Jane Ellen Welch | Clinical Nurse Specialist | 1501 Kalamazoo Dr # A, Griffin, GA 30224-3919 | 2007-05-18 |
| 1720104102 | Kelly West Gilfillan | Clinical Nurse Specialist | 700 Highway 341 S, Barnesville, GA 30204-3470 | 2007-03-21 |
| 1457822348 | Cathy Mcelveen Billiter | Clinical Nurse Specialist | 1 Freedom Way # 26, Augusta, GA 30904-6258 | 2018-12-17 |
| 1366797391 | Julie Inez Burke | Clinical Nurse Specialist | 690 Dallas Hwy, Suite 201, Villa Rica, GA 30180-1264 | 2012-07-16 |
| 1497035380 | Dene Ruth Bellamy | Clinical Nurse Specialist | 3073 Panthersville Road, Decatur, GA 30034 | 2011-08-23 |
| 1972816726 | Scott Nelson Howell | Clinical Nurse Specialist | 1763 Fernside Dr, Toccoa, GA 30577-8095 | 2010-07-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.