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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MIRANDA WILLIAMS A-GNP-C
NPI 1922641158
Registered Nurse in Dothan, AL

Active since October 21, 2019PECOS Enrolled
2800 ROSS CLARK CIR STE 3, DOTHAN, AL 36301(334) 793-3411 Get Directions Write a Review

NPPES record last updated: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 2, 2026, Oct 21, 2019 (2 updates tracked since 2019).

About Miranda Williams A-gnp-c NPPES

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

MIRANDA WILLIAMS A-GNP-C (NPI 1922641158) is an individual registered nurse in Dothan, Alabama, licensed in Alabama (1-156414) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1922641158
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameMIRANDA WILLIAMSCredential: A-GNP-C
Location Address2800 ROSS CLARK CIR STE 3Dothan, AL 36301-9900
Mailing Address107 Park Ridge DrDothan, AL 36301-9039 · (334) 790-7483
Phone(334) 793-3411
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 21, 2019
Last NPPES UpdateNovember 2, 20262 updates tracked since enumeration
NPPES CertifiedNovember 2, 2026
✔ NPI 1922641158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in AL · 1-156414
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
2800 ROSS CLARK CIR STE 3, Dothan, AL 36301
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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

Miranda Williams A-gnp-c 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 ID42658866
PECOS Enrollment IDI20240329000541
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 Reassignment

Medicare enrollment records show Miranda Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Elemental Living Inc
490 mi
Chiropractor
301 ALMERIA AVE STE 250
Coral Gables, FL 33134
  • Reassigned Medicare billing, Alabama enrollment
  • 7 clinicians in this Medicare group
NPI 1205617404 (954) 231-5484

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

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 Miranda Williams's NPI number?

The NPI number for Miranda Williams is 1922641158. It was assigned to this individual provider in the NPPES registry on October 21, 2019.

Where is Miranda Williams located?

Miranda Williams practices at 2800 Ross Clark Cir Ste 3, Dothan, AL 36301. The listed phone number is (334) 793-3411.

What is Miranda Williams's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Miranda Williams enrolled in Medicare?

Yes. Miranda 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 organization bills Medicare for Miranda Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miranda Williams reassigns Medicare benefits to Elemental Living Inc (Coral Gables, FL). The 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 Miranda 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 Miranda Williams was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.