MARY KATHERINE WILLIAMS (NPI# 1972549269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972549269 |
| Entity Type | Individual |
| Full Name | MARY KATHERINE WILLIAMS |
| Credential | CFNP |
| Practice Address |
Clark-holder Clinic, P.a. 303 Smith Street Lagrange GA 30240 |
| Practice Telephone | 7068828831 |
| Practice Fax Number | 7068124091 |
| Mailing Telephone | 7068828831 |
| Mailing Fax Number | 7068124091 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363L00000X | Nurse Practitioner | 036755 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363LF0000X |
Nurse Practitioner Specialization: Family |
036755 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
036755 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417080 | Mary Williams | Counselor | 8032 Twin Oaks Ave, Citrus Heights, CA 95610-0510 | 2020-11-05 |
| 1720601743 | Mary L Williams | Social Worker | 693 Pelton Ave, Staten Island, NY 10310-3139 | 2020-05-26 |
| 1518580547 | Mary Williams | Registered Nurse | 126 Bending Brook Ln, Dickinson, TX 77539-6134 | 2020-05-26 |
| 1144853045 | Mary Elizabeth Williams | Counselor | 221 Linden Blvd Apt B7, Brooklyn, NY 11226-3418 | 2020-02-19 |
| 1174161475 | Mary Williams | Pharmacist | 300 I-40 Service Road, West Memphis, AR 72301 | 2019-12-17 |
| 1952943508 | Mary Kathryn Williams | Peer Specialist | 1141 E 74th St, Cleveland, OH 44103-1918 | 2019-10-16 |
| 1780246025 | Mary Elizabeth Williams | Social Worker | 160 Moore Dr Ste 208, Lexington, KY 40503-2936 | 2019-07-08 |
| 1215494513 | Mary Williams | Massage Therapist | 40 Pinch Creek Rd, Bland, VA 24315-4614 | 2019-02-23 |
| 1487119590 | Mary Elizabeth Williams | Counselor | 230 Se Cabot Dr, Oak Harbor, WA 98277-3700 | 2019-02-02 |
| 1265996839 | Mary Deanna Williams | Home Health | 210 W 18th St, Lorain, OH 44052-3712 | 2019-01-28 |
| Street Address |
CLARK-HOLDER CLINIC, P.A. 303 SMITH STREET |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205871233 | Shih Yin Anna Kao | Ophthalmology | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-16 |
| 1487682373 | Clark-holder Clinic, P.a. | Family Medicine | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-29 |
| 1801822978 | Diane L Mcgowan | Otolaryngology | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-23 |
| 1629014907 | Kevin R Ward | Nurse Practitioner | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-22 |
| 1932145125 | Tracy W. Flory | Nurse Practitioner | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-22 |
| 1649216839 | Nancy H Perry | Nurse Practitioner | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-22 |
| 1508802166 | Serena M Coulombe | Nurse Practitioner | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-21 |
| 1780620344 | Marlis J Dunlap | Nurse Practitioner | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-21 |
| 1831135987 | James P Mcgowan | Internal Medicine | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-20 |
| 1447295696 | Lawrence N Gynther | Internal Medicine | Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | 2006-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| Find all providers in zip 30240 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255789996 | Jennifer Lovell | Nurse Practitioner | 1955 Roanoke Rd, Lagrange, GA 30240-3823 | 2016-06-02 |
| 1811133622 | Judy B. Bain | Nurse Practitioner | 104 Harwell Ave Ste 236, Lagrange, GA 30240-3132 | 2008-12-29 |
| 1245410711 | Jennifer Lee Thomas | Nurse Practitioner | 1015 New Moody Lane, Lagrange, KY 40031 | 2007-11-13 |
| 1518942135 | Marjorie R Rachide | Nurse Practitioner | 101 South Carey Street, Lagrange, NC 28551 | 2005-12-07 |
| 1306401260 | Brandon Blakely Bisso | Nurse Practitioner | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2019-05-07 |
| 1114449329 | Lauren Fiandt | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2017-07-10 |
| 1073034500 | Amber N Handshoe | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2017-07-06 |
| 1285162156 | Whitley Ann Harris | Nurse Practitioner | 303 Smith St, Lagrange, GA 30240-2745 | 2017-05-23 |
| 1730614934 | Leanna K Andrews | Nurse Practitioner | 303 Smith St, Lagrange, GA 30240-2745 | 2017-04-25 |
| 1558712646 | Elizabeth R. Burkhart | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761 | 2016-06-29 |
| Find all providers in LAGRANGE | ||||
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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.