MARY LYNN WILLIAMS (NP-C) – Family Nurse Practitioner, NPI 1174846216

MARY LYNN WILLIAMS (NP-C) is a healthcare provider. based in Cordele, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. RN102733 (GA). The NPI Number for MARY LYNN WILLIAMS (NP-C) is 1174846216

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MARY LYNN WILLIAMS (NP-C)
NPI
1174846216
Phone
(229) 273-8881
Address
PO BOX 5610
Enumeration Date
3 March 2010
Last Update Date
10 December 2011

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
7214163567
Group Practice PAC ID
9638081623
Professional Enrollment ID
I20140509001881
Address ID
MT592550067PO107XXEXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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

View all Open Payments →|Open Payments Risk Radar →

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140509001881INurse PractitionerTXTBD
I20150506002892INurse PractitionerGATBD
I20231006003268INurse PractitionerORTBD

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.

Verify on CMS Revalidation Lookup Tool

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

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638081623View full group profile

Reviews

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Frequently asked questions

What identifier follows MARY LYNN WILLIAMS (NP-C) across health systems?
The NPI 1174846216 uniquely identifies MARY LYNN WILLIAMS (NP-C) in U.S. healthcare data.
Is MARY LYNN WILLIAMS (NP-C) currently accepting referrals based on NPI status?
Registry metadata lists MARY LYNN WILLIAMS (NP-C) as active.
What type of care does MARY LYNN WILLIAMS (NP-C) provide?
MARY LYNN WILLIAMS (NP-C)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MARY LYNN WILLIAMS (NP-C)?
MARY LYNN WILLIAMS (NP-C) is associated with Cordele, Georgia in the same public data insurers reference.
Can I export MARY LYNN WILLIAMS (NP-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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