MS. TARNEISHA WILLIAMS (NP) – Primary Care Nurse Practitioner, NPI 1730757808
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,744 NURSE PRACTITIONER in GA
Provider Addresses for MS. TARNEISHA WILLIAMS (NP)
130 Shaker Hollow Dr
McDonough, GA 302537590
Phone: (478) 320-3157
Type: Location
1862 CANDLER RD
DECATUR, GA 300324163
Phone: (404) 289-4556
Fax: (404) 478-2779
Type: Location
130 SHAKER HOLLOW DR
MCDONOUGH, GA 302537590
Phone: (478) 320-3157
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $769.
Total Amount is formed as General ($769) + Research ($0) + Ownership ($0) = $769.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Novo Nordisk Inc ($339).
Total Amount
$769
General + Research + Ownership
Payments
33
Total payment records
General Amount
$769
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $339 |
| Lilly USA, LLC | $85 |
| Bayer Healthcare Pharmaceuticals Inc. | $77 |
| ABBVIE INC. | $76 |
| Astellas Pharma US Inc | $63 |
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: 2025-10-13
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20251013000141 | I | Nurse Practitioner | GA | 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 30253)
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