Mrs Kellie Sue Williams, NP-C - Medicare Nurse Practitioner in Lecanto, FL

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Mrs Kellie Sue Williams, NP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Lecanto, Florida. She graduated from medical school in 2008 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gwinnett Physician Group, Llc and her current practice location is 828 E Savoy St, Lecanto, Florida. You can reach out to her office (for appointments etc.) via phone at (404) 357-6946.

Mrs Kellie Sue Williams is licensed to practice in Florida (license number APRN11012874) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992006506.

Contact Information

Mrs Kellie Sue Williams, NP-C
828 E Savoy St,
Lecanto, FL 34461-8766
(404) 357-6946
Not Available

Map and Direction




Physician's Profile

Full NameMrs Kellie Sue Williams
GenderFemale
SpecialityNurse Practitioner
Experience17 Years
Location828 E Savoy St, Lecanto, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Kellie Sue Williams graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1992006506
  • Provider Enumeration Date: 11/12/2010
  • Last Update Date: 01/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1759568744
  • Enrollment ID: I20110531000154

Medical Identifiers

Medical identifiers for Mrs Kellie Sue Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992006506NPI-NPPES
1992006506MedicaidGA
XJYGAOtherFLBLUE SHIELD
110883800MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) APRN11012874 (Florida)Secondary
363L00000XNurse Practitioner RN094494NP (Georgia)Secondary
363LF0000XNurse Practitioner - Family APRN11012874 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northside Hospital GwinnettLawrenceville, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gwinnett Physician Group, Llc913321113999

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kellie Sue Williams allows following entities to bill medicare on her behalf.
Entity NameThe Emory Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503
Entity NameEmory Medical Care Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063452381
PECOS PAC ID: 4981501814
Enrollment ID: O20031217000968
Entity NameEmory Specialty Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407864168
PECOS PAC ID: 3476559782
Enrollment ID: O20061010000447
Entity NameGwinnett Physician Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578574661
PECOS PAC ID: 9133211139
Enrollment ID: O20070822001035

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kellie Sue Williams is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kellie Sue Williams, NP-C
305 S Line Ave,
Inverness, FL 34452-4605

Ph: (352) 344-4791		Mrs Kellie Sue Williams, NP-C
828 E Savoy St,
Lecanto, FL 34461-8766

Ph: (404) 357-6946

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.