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TINA WILLIAMS FNP-BC, CNM
NPI 1871818526
Nurse Practitioner - Psychiatric/Mental Health in Decatur, GA

Active since April 06, 2010PECOS EnrolledAccepts Medicare Assignment
52.89/100
CMS Quality Rating
465 WINN WAY STE 221, DECATUR, GA 30030(404) 292-3810 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 13, 2021, Dec 11, 2020 (2 updates tracked since 2020).

About Tina Williams Fnp-bc, Cnm NPPES

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

TINA WILLIAMS FNP-BC, CNM (NPI 1871818526) is an individual psychiatric/mental health provider in Decatur, Georgia, licensed in Georgia (RN192734) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1871818526
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTINA WILLIAMSCredential: FNP-BC, CNM
Location Address465 WINN WAY STE 221Decatur, GA 30030-1723
Mailing Address465 Winn Way Ste 221Decatur, GA 30030-1723 · (404) 474-8491 · Fax (404) 298-3848
Phone(404) 292-3810
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 6, 2010
Last NPPES UpdateApril 17, 20232 updates tracked since enumeration
NPPES CertifiedDecember 20, 2022
✔ NPI 1871818526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN192734
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN192734 (GA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN192734 (GA)
465 WINN WAY STE 221, Decatur, GA 30030
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1868 York Ave SWAtlanta, GA 30310-2750 · Phone (404) 752-1400 · Fax (404) 752-7296
Location 25885 Glenridge Dr Ste 100Atlanta, GA 30328-5572 · Phone (678) 321-8546

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

Tina Williams Fnp-bc, Cnm 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.

PECOS PAC ID9436344280
PECOS Enrollment IDI20101108000052
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Tina Williams reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Foresight Mental Health Group PLLC
Same address
Counselor
465 WINN WAY STE 221
Decatur, GA 30030
  • Reassigned Medicare billing, Georgia enrollment
  • 9 clinicians in this Medicare group
NPI 1477222040 (888) 588-8995
Grow Healthcare Group PA
604 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Georgia enrollment
  • 994 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

52.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality45.53
Improvement Activities40
Cost23.24

Other Providers at the Same Location NPPES 14

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

ANTHONY PAUL CAMPANELLA PA - C, CAQ-PSYCH
Physician Assistant
465 WINN WAY STE 221
DECATUR, GA 30030
Dekalb County (888) 588-8995
PACT ATLANTA, LLC
Clinic/Center (Medical Specialty)
465 WINN WAY STE 221
DECATUR, GA 30030
Dekalb County (404) 292-3810
RAJASREE PRATURI M.D.
Psychiatry & Neurology (Psychiatry)
465 WINN WAY STE 221
DECATUR, GA 30030
Dekalb County (404) 292-3810
DR. KIERSTON PAISLEY WIMAN DNP, APRN-BC
Nurse Practitioner (Psychiatric/Mental Health)
465 WINN WAY STE 221
DECATUR, GA 30030
Dekalb County (404) 292-3810
FORESIGHT MENTAL HEALTH GROUP PLLC
Counselor
465 WINN WAY STE 221
DECATUR, GA 30030
Dekalb County (888) 588-8995
DR. STEPHEN HALL KING JR. PHD, LCSW
Social Worker (Clinical)
465 WINN WAY STE 221
DECATUR, GA 30030
Dekalb County (404) 292-3810
ALEXANDRA WHIDDON MSRNCSNP
Registered Nurse (Psychiatric/Mental Health, Adult)
465 WINN WAY STE 221
DECATUR, GA 30030
Dekalb County (404) 292-3810
LAUREN COLEGROVE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
465 WINN WAY STE 221
DECATUR, GA 30030
Dekalb County (404) 292-3810

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 Tina Williams's NPI number?

The NPI number for Tina Williams is 1871818526. It was assigned to this individual provider in the NPPES registry on April 6, 2010.

Where is Tina Williams located?

Tina Williams practices at 465 Winn Way Ste 221, Decatur, GA 30030. The listed phone number is (404) 292-3810.

What is Tina Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tina Williams enrolled in Medicare?

Yes. Tina 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 Tina Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Williams reassigns Medicare benefits to 2 organizations: Foresight Mental Health Group PLLC (Decatur, GA) and Grow Healthcare Group PA (Miami, FL). 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 Tina Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tina Williams was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.