DR. KENEESHIA NICOLE WILLIAMS (M.D.) – Surgical Critical Care Physician, NPI 1942437363

DR. KENEESHIA NICOLE WILLIAMS (M.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 077597 (GA). The NPI Number for DR. KENEESHIA NICOLE WILLIAMS (M.D.) is 1942437363

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENEESHIA NICOLE WILLIAMS (M.D.)
NPI
1942437363
Phone
(404) 251-8914
Address
69 JESSE HILL JR DR SE FL 3
Enumeration Date
11 June 2009
Last Update Date
12 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4046161000
Graduation Year
2017 (9 years ago)
PAC ID
8224309059
Group Practice PAC ID
4981501814
Professional Enrollment ID
I20170811002395
Address ID
GA303033031AT80XXXSEXX600

Contacts

Secure Messaging
kwilliams518047@directwellstar.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

1,092 GENERAL SURGERY in GA

Provider Addresses for DR. KENEESHIA NICOLE WILLIAMS (M.D.)

  • 69 JESSE HILL JR DR SE FL 3

    ATLANTA, GA 303033033

    Phone: (404) 251-8914

    Type: Location

  • 55 WHITCHER ST NE STE 130

    MARIETTA, GA 300601156

    Phone: (770) 428-0462

    Type: Mailing

  • 69 Jesse Hill Jr Dr SE Fl 3

    Atlanta, GA 303033033

    Phone: (404) 251-8914

    Type: Location

  • 69, Jesse Hill Junior Drive, Sweet Auburn, Old Fourth Ward, Atlanta, Fulton County, Georgia, 30303, United States

    GLENN MEMORIAL , 3RD FLOOR

    ATLANTA, GA 30303

    Phone: (404) 251-8914

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $2,036.

Total Amount is formed as General ($2,036) + Research ($0) + Ownership ($0) = $2,036.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($1,477).

Total Amount

$2,036

General + Research + Ownership

Payments

19

Total payment records

General Amount

$2,036

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

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: 2017-08-11

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
I20170811002395IGeneral SurgeryGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3021$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2920$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1919$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 30303)

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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: 4981501814View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCA
Interventional Radiology, Diagnostic RadiologyKY
A N E S T H E S I O L O G YGA
Gastroenterology, Internal MedicineGA
-GA
Oral Surgery, Maxillofacial SurgeryGA
Cardiovascular Disease (Cardiology), Internal MedicineGA
P S Y C H I A T R YGA
Physician AssistantGA
Internal Medicine, Infectious DiseaseGA

Reviews

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Frequently asked questions

Where can patients find DR. KENEESHIA NICOLE WILLIAMS (M.D.)'s NPI?
You can confirm DR. KENEESHIA NICOLE WILLIAMS (M.D.) with NPI 1942437363; it appears in the national provider directory.
Is DR. KENEESHIA NICOLE WILLIAMS (M.D.) active in the national directory?
DR. KENEESHIA NICOLE WILLIAMS (M.D.)'s public NPI profile is in an active state.
Does DR. KENEESHIA NICOLE WILLIAMS (M.D.) list a primary specialty?
If you are matching referrals, note Surgical Critical Care Physician for DR. KENEESHIA NICOLE WILLIAMS (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. KENEESHIA NICOLE WILLIAMS (M.D.)?
The page summarizes Atlanta, Georgia for DR. KENEESHIA NICOLE WILLIAMS (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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