MRS. JACQUELINE LAVINIA WILLIAMS PMHNP
NPI 1477092856
Nurse Practitioner - Psychiatric/Mental Health in Alpharetta, GA
About Mrs. Jacqueline Lavinia Williams Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JACQUELINE LAVINIA WILLIAMS PMHNP (NPI 1477092856) is an individual psychiatric/mental health provider in Alpharetta, Georgia, licensed in Georgia (APRN-NP261557) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Jacqueline Lavinia Williams Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
6Medicare enrollment records show Jacqueline Williams reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 55 clinicians in this Medicare group
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 45 clinicians in this Medicare group
Conyers, GA 30012
- Reassigned Medicare billing, Georgia enrollment
- 85 clinicians in this Medicare group
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 592 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, District of Columbia enrollment
- 1,424 clinicians in this Medicare group
San Francisco, CA 94131
- Reassigned Medicare billing, Georgia enrollment
- 57 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALPHARETTA, GA 30005
ALPHARETTA, GA 30005
ALPHARETTA, GA 30005
ALPHARETTA, GA 30005
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 Jacqueline Williams's NPI number?
The NPI number for Jacqueline Williams is 1477092856. It was assigned to this individual provider in the NPPES registry on February 17, 2017.
Where is Jacqueline Williams located?
Jacqueline Williams practices at 3300 Old Milton Pkwy Ste 175, Alpharetta, GA 30005. The listed phone number is (470) 568-2010.
What is Jacqueline Williams's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jacqueline Williams enrolled in Medicare?
Yes. Jacqueline Williams is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jacqueline Williams's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Williams reassigns Medicare benefits to 6 organizations: Emerginet Henry, LLC (Atlanta, GA), Emerginet, LLC (Atlanta, GA), Walker Lake Emergency Group, PC (Conyers, GA), Personal Recovery Network LLC (Stockbridge, GA), Grow Healthcare Group PA (Miami, FL) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacqueline Williams accept?
Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Texas list Jacqueline Williams 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 Jacqueline Williams was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mrs. Jacqueline Lavinia Williams, PMHNP · NPI 1477092856
Psychiatric/Mental Health physician in Alpharetta, Georgia. Individual provider, active in the CMS NPPES registry since February 17, 2017.
## Identity
- **NPI:** 1477092856 (Entity type: Individual)
- **Enumerated:** February 17, 2017
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APRN-NP261557 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3300 OLD MILTON PKWY STE 175, Alpharetta, GA 30005-2460
- **Phone:** (470) 568-2010 · **Fax:** (470) 880-5466
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Emerginet Henry, LLC (NPI 1811946627, Atlanta, GA); Emerginet, LLC (NPI 1164480869, Atlanta, GA); Walker Lake Emergency Group, PC (NPI 1437629342, Conyers, GA); Personal Recovery Network LLC (NPI 1881990869, Stockbridge, GA); Grow Healthcare Group PA (NPI 1245845932, Miami, FL); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 28, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1477092856) · Data from the CMS NPPES public registry.