MRS. KELLIE SUE WILLIAMS (NP-C) – Family Nurse Practitioner, NPI 1992006506

MRS. KELLIE SUE WILLIAMS (NP-C) is a healthcare provider. based in Marietta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. APRN11012874 (FL). The NPI Number for MRS. KELLIE SUE WILLIAMS (NP-C) is 1992006506

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLIE SUE WILLIAMS (NP-C)
NPI
1992006506
Phone
(770) 321-0411
Address
2359 CHESTNUT SPRINGS TRL
Enumeration Date
12 November 2010
Last Update Date
23 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6783123500
Graduation Year
2008 (18 years ago)
PAC ID
1759568744
Group Practice PAC ID
9133211139
Professional Enrollment ID
I20110531000154
Address ID
GA300467766LA2200XBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:15State licenses:2Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MRS. KELLIE SUE WILLIAMS (NP-C)

  • 2359 CHESTNUT SPRINGS TRL

    MARIETTA, GA 300622834

    Phone: (770) 321-0411

    Type: Mailing

  • 305 S LINE AVE

    INVERNESS, FL 344524605

    Phone: (352) 344-4791

    Fax: (352) 344-3822

    Type: Mailing

  • 828 E SAVOY ST

    LECANTO, FL 344618766

    Phone: (404) 357-6946

    Type: Location

  • 305 S Line Ave

    Inverness, FL 344524605

    Phone: (352) 344-4791

    Fax: (352) 344-3822

    Type: Location

  • 1500 SW 1st Ave

    Ocala, FL 344716504

    Phone: (352) 351-7200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $188.

Total Amount is formed as General ($188) + Research ($0) + Ownership ($0) = $188.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABIOMED ($43).

Total Amount

$188

General + Research + Ownership

Payments

8

Total payment records

General Amount

$188

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2021-08-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20110531000154INurse PractitionerGATBD
I20210811004517INurse PractitionerFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes195155$0
99204New patient office or other outpatient visit, 45-59 minutes3434$0
View full utilization report →

Insurance plans in this area (ZIP 30062)

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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: 9133211139View full group profile

Reviews

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Frequently asked questions

What is MRS. KELLIE SUE WILLIAMS (NP-C)'s NPI number?
MRS. KELLIE SUE WILLIAMS (NP-C)'s NPI is 1992006506 — the number used across U.S. healthcare to identify this provider.
Is MRS. KELLIE SUE WILLIAMS (NP-C) still an active registrant?
MRS. KELLIE SUE WILLIAMS (NP-C) carries an active NPI according to the public dataset.
How would a patient describe MRS. KELLIE SUE WILLIAMS (NP-C)'s focus?
For MRS. KELLIE SUE WILLIAMS (NP-C), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. KELLIE SUE WILLIAMS (NP-C) located near Marietta?
MRS. KELLIE SUE WILLIAMS (NP-C) currently maps to Marietta, Georgia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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