MARY LYNN WILLIAMS (NP-C) – Family Nurse Practitioner, NPI 1174846216
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
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Provider Addresses for MARY LYNN WILLIAMS (NP-C)
Cordele Post Office, 11th Avenue East, Cordele, Crisp County, Georgia, 31010, United States
CORDELE, GA 310105610
Phone: (229) 273-8881
Fax: (229) 273-8985
Type: Mailing
East 16th Avenue, Cordele, Crisp County, Georgia, 31010, United States
SUITE B
CORDELE, GA 310151776
Phone: (229) 271-9330
Fax: (229) 271-9245
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $79.
Total Amount is formed as General ($79) + Research ($0) + Ownership ($0) = $79.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($36).
Total Amount
$79
General + Research + Ownership
Payments
4
Total payment records
General Amount
$79
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $36 |
| Astellas Pharma US Inc | $21 |
| SANOFI-AVENTIS U.S. LLC | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-10-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140509001881 | I | Nurse Practitioner | TX | TBD |
| I20150506002892 | I | Nurse Practitioner | GA | TBD |
| I20231006003268 | I | Nurse Practitioner | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31010)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | HI | |
| - | NJ | |
| Physician Assistant | WA | |
| - | PR | |
| - | MT | |
| - | OR | |
| - | PA | |
| - | MT | |
| Family Practice | MT | |
| Nurse Practitioner | MT |
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