| Heather Lacey Williams, FNP-C | |
|
97 Kevin Ln, Rock Spring, GA 30739-2272 | |
| (999) 999-9999 | |
| Not Available |
| Full Name | Heather Lacey Williams |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 97 Kevin Ln, Rock Spring, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033730130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN210991 (Georgia) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 27256 (Tennessee) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dx Mso Of Georgia Llc | 1153702931 | 9 |
| Crossroads Urgent Care Pllc | 8325117484 | 175 |
| Utm Of Georgia Physicians Llc | 5991138307 | 13 |
| Entity Name | Tri-med Family Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356596399 PECOS PAC ID: 8527122712 Enrollment ID: O20090203000508 |
| Entity Name | Utm Of Georgia Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255893038 PECOS PAC ID: 5991138307 Enrollment ID: O20191125002037 |
| Entity Name | Dx Mso Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922757111 PECOS PAC ID: 1153702931 Enrollment ID: O20220726000839 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Lacey Williams, FNP-C 97 Kevin Ln, Rock Spring, GA 30739-2272 Ph: () - | Heather Lacey Williams, FNP-C 97 Kevin Ln, Rock Spring, GA 30739-2272 Ph: (999) 999-9999 |
Jennifer Nicole Hennon, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 216 Thacker Dr, Rock Spring, GA 30739 Phone: 866-434-3255 | |
David Stephen Cofer, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 216 Thacker Dr, Rock Spring, GA 30739 Phone: 706-764-1239 Fax: 312-268-6115 |