KATRINA GODDARD WILLIAMS (M.S., LIC-A) – Audiologist, NPI 1871882068

KATRINA GODDARD WILLIAMS (M.S., LIC-A) is a healthcare provider. based in Atlanta, Georgia. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials M.S., LIC-A. They hold a License No. AUD003452 (GA). The NPI Number for KATRINA GODDARD WILLIAMS (M.S., LIC-A) is 1871882068

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
KATRINA GODDARD WILLIAMS (M.S., LIC-A)
NPI
1871882068
Phone
(770) 220-8434
Address
4380 GEORGETOWN SQ
Enumeration Date
29 March 2011
Last Update Date
19 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4043647206
Graduation Year
1994 (32 years ago)
PAC ID
2668658873
Group Practice PAC ID
6204829013
Professional Enrollment ID
I20110523000595
Address ID
GA303051729AT3495XNEXX400

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

263 QUALIFIED AUDIOLOGIST in GA

Provider Addresses for KATRINA GODDARD WILLIAMS (M.S., LIC-A)

  • 4380 GEORGETOWN SQ

    SUITE 1002

    ATLANTA, GA 303386254

    Phone: (770) 220-8434

    Fax: (770) 234-9979

    Type: Mailing

  • 6630 MCGINNIS FERRY RD

    SUITE B

    DULUTH, GA 300972164

    Phone: (404) 297-4230

    Fax: (770) 232-0847

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-05-23

PECOS data refreshed: 2026-05-27

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110523000595IQualified AudiologistGATBD

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 30338)

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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: 6204829013View full group profile

Reviews

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Frequently asked questions

Can I cross-check KATRINA GODDARD WILLIAMS (M.S., LIC-A) using NPI 1871882068?
NPI 1871882068 belongs to KATRINA GODDARD WILLIAMS (M.S., LIC-A); compare other details if you need extra assurance.
Active or inactive — what applies to KATRINA GODDARD WILLIAMS (M.S., LIC-A)?
You should see KATRINA GODDARD WILLIAMS (M.S., LIC-A) as active in CMS-hosted NPPES data.
What clinical focus is listed for KATRINA GODDARD WILLIAMS (M.S., LIC-A)?
At a glance, KATRINA GODDARD WILLIAMS (M.S., LIC-A) is tied to Audiologist. Clinical services aligned with this taxonomy classification.
Is KATRINA GODDARD WILLIAMS (M.S., LIC-A) located near Atlanta?
KATRINA GODDARD WILLIAMS (M.S., LIC-A) currently maps to Atlanta, Georgia in this extract.
Does KATRINA GODDARD WILLIAMS (M.S., LIC-A) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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