| Miss Gia Marie Williams, | |
|
4200 E Washington Ave, North Little Rock, AR 72114-6463 | |
| (501) 534-1300 | |
| (501) 613-0848 |
| Full Name | Miss Gia Marie Williams |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4200 E Washington Ave, North Little Rock, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093156309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP120099 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | A003484 (Arkansas) | Primary |
| Entity Name | Arkansas Health Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598031882 PECOS PAC ID: 7911802079 Enrollment ID: O20120611000172 |
| Entity Name | Icp Arkansas Aco Billing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679157838 PECOS PAC ID: 8820497886 Enrollment ID: O20210524001681 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Gia Marie Williams, 11001 Executive Center Dr Ste 200, Little Rock, AR 72211-4393 Ph: (501) 534-1300 | Miss Gia Marie Williams, 4200 E Washington Ave, North Little Rock, AR 72114-6463 Ph: (501) 534-1300 |
Charlotte Murry Noles, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr, Extended Care 1d (118/nlr), North Little Rock, AR 72114 Phone: 501-257-2750 | |
Angela Francine Dougan, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr, North Little Rock, AR 72114 Phone: 501-257-2730 | |
Deena Davon Garner, DNP, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5401 John F Kennedy Blvd Ste E-1, North Little Rock, AR 72116 Phone: 501-860-2927 | |
Angela Denise Cheves, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4000 Richards Rd Ste A, North Little Rock, AR 72117 Phone: 501-758-5133 Fax: 501-758-5173 | |
Mrs. Heather Maples Mccaleb, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2933 Lakewood Village Dr, North Little Rock, AR 72116 Phone: 501-435-1417 | |
Mrs. Kelli Lauron Slaughter, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2800 North Willow Street, North Little Rock, AR 72114 Phone: 501-791-8551 | |
Ms. Julie Ann Hill, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3333 Springhill Dr, North Little Rock, AR 72117 Phone: 501-202-3704 Fax: 501-202-3705 |