STACEY H WILLIFORD LLC
NPI 1447987227
Nurse Practitioner - Family in Sandersville, GA

Active since August 02, 2022CLIA 11D2294452 · Waiver
524 SPARTA RD, SANDERSVILLE, GA 31082(478) 412-2880(478) 412-2881 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 8, 2022, Aug 3, 2022 (2 updates tracked since 2022).

About Stacey H Williford Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY H WILLIFORD LLC (NPI 1447987227), doing business as Cardinal Healthcare, is a healthcare organization registered as a family in Sandersville, Georgia and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through November 26, 2027, maintains 2 additional practice locations, and lists Stacey Williford, Owner, as its authorized official.

NPPES Registry Identity

NPI1447987227
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSTACEY H WILLIFORD LLC
Location Address524 SPARTA RDSandersville, GA 31082-1376
Mailing Address524 Sparta RdSandersville, GA 31082-1376 · (478) 412-2880 · Fax (478) 412-2881
Fax(478) 412-2881
Organization SubpartNo
Authorized OfficialStacey WillifordOwner · (478) 232-7066
Enumeration DateAugust 2, 2022
Last NPPES UpdateOctober 24, 20252 updates tracked since enumeration
NPPES CertifiedOctober 24, 2025
NPI 1447987227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
524 SPARTA RD, Sandersville, GA 31082

Other Names 1

Doing Business AsCardinal Healthcare

Secondary Practice Locations 2

Location 1601 Ferncrest Dr Ste 2Sandersville, GA 31082-1892 · Phone (478) 412-2880 · Fax (478) 412-2881
Location 21000 Cowles Clinic Way Ste 100Greensboro, GA 30642-5285 · Phone (478) 412-2880

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2294452

Stacey H Williford Dba Cardinal Healthcare · Greensboro, GA
Active · expires Nov 26, 2027
CLIA Number11D2294452
Laboratory TypePhysician Office
Certificate Effective DateNovember 27, 2025
Certificate Expiration DateNovember 26, 2027
Laboratory DirectorStacey H. Williford
Laboratory Phone(478) 412-2880
Laboratory LocationStacey H Williford Dba Cardinal Healthcare1000 Cowles Clinic Way, Suite E-100, Elm Cottage, Greensboro, GA 30642
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2266199

Stacey H Williford LLC Dba Cardinal Healthcare · Sandersville, GA
Expired · Aug 7, 2026
CLIA Number11D2266199
Laboratory TypePhysician Office
Certificate Effective DateAugust 8, 2024
Certificate Expiration DateAugust 7, 2026
Laboratory DirectorStacey Williford
Laboratory Phone(478) 412-2880
Laboratory LocationStacey H Williford LLC Dba Cardinal Healthcare524 Sparta Road, Sandersville, GA 31082
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
524 SPARTA RD
SANDERSVILLE, GA 31082
Nurse Practitioner (Family)
524 SPARTA RD
SANDERSVILLE, GA 31082
Dentist (General Practice)
524 SPARTA RD
SANDERSVILLE, GA 31082
Nurse Practitioner
524 SPARTA RD
SANDERSVILLE, GA 31082
Chiropractor (Neurology)
524 SPARTA RD
SANDERSVILLE, GA 31082

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey H Williford LLC's NPI number?

The NPI number for Stacey H Williford LLC is 1447987227. It was assigned to this organization in the NPPES registry on August 2, 2022. The provider is doing business as Cardinal Healthcare.

Where is Stacey H Williford LLC located?

Stacey H Williford LLC is located at 524 Sparta Rd, Sandersville, GA 31082. The listed phone number is (478) 412-2880.

What is Stacey H Williford LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Stacey H Williford LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2294452) is associated with this NPI, valid through November 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Stacey H Williford LLC accept?

Health plans from Alliant Health Plans, Inc. list Stacey H Williford LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacey H Williford LLC was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.