Mrs Jacqueline Lavinia Williams, PMHNP - Medicare Nurse Practitioner in Alpharetta, GA

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Mrs Jacqueline Lavinia Williams, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Alpharetta, Georgia. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Personal Recovery Network Llc, Brightside Medical Of Michigan Pc and her current practice location is 3300 Old Milton Pkwy Ste 175, Alpharetta, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 568-2010.

Mrs Jacqueline Lavinia Williams is licensed to practice in Georgia (license number APRN-NP261557) 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 1477092856.

Contact Information

Mrs Jacqueline Lavinia Williams, PMHNP
3300 Old Milton Pkwy Ste 175,
Alpharetta, GA 30005-2460
(470) 568-2010
(470) 880-5466

Map and Direction




Provider's Profile

Full NameMrs Jacqueline Lavinia Williams
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location3300 Old Milton Pkwy Ste 175, Alpharetta, Georgia
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 Jacqueline Lavinia Williams graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1477092856
  • Provider Enumeration Date: 02/17/2017
  • Last Update Date: 10/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8426327594
  • Enrollment ID: I20170705001328

Medical Identifiers

Medical identifiers for Mrs Jacqueline Lavinia Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477092856NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN261557 (Georgia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN-NP261557 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Personal Recovery Network Llc5092611384453
Brightside Medical Of Michigan Pc983056277677

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 Jacqueline Lavinia Williams allows following entities to bill medicare on her behalf.
Entity NameEmerginet, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164480869
PECOS PAC ID: 4082515853
Enrollment ID: O20040115000322
Entity NameEmerginet Henry, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811946627
PECOS PAC ID: 4981594900
Enrollment ID: O20040316000137
Entity NamePersonal Recovery Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881990869
PECOS PAC ID: 5092611384
Enrollment ID: O20120110000096
Entity NameWalker Lake Emergency Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437629342
PECOS PAC ID: 0840531919
Enrollment ID: O20190418001186
Entity NameBrightside Medical Of Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144800350
PECOS PAC ID: 9830562776
Enrollment ID: O20230404000719

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 Jacqueline Lavinia 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 Jacqueline Lavinia Williams, PMHNP
3300 Old Milton Pkwy Ste 175,
Alpharetta, GA 30005-2460

Ph: (470) 568-2010		Mrs Jacqueline Lavinia Williams, PMHNP
3300 Old Milton Pkwy Ste 175,
Alpharetta, GA 30005-2460

Ph: (470) 568-2010

Reviews and Comments


Nurse Practitioner Nurses in Alpharetta, GA

Kathleen Marie Sklivagkos,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2710 Old Milton Pkwy Ste 150, Alpharetta, GA 30009
Phone: 770-274-9511    
Mr. Terrance B Henderson, AGNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3180 N Point Pkwy Ste 302, Alpharetta, GA 30005
Phone: 404-800-5181    
Amy Labib, DNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3180 N Point Pkwy, Alpharetta, GA 30005
Phone: 678-224-8686    
Julia Weirbach, AGNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 960 N Point Pkwy Ste 120, Alpharetta, GA 30005
Phone: 770-800-3353    
Regan J Kudlata, RN FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3400 Old Milton Pkwy # C, Ste 190, Alpharetta, GA 30005
Phone: 404-832-0300    
Joanna M Huff, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 44 Milton Ave, Alpharetta, GA 30009
Phone: 425-449-1571    
Gina Leeann Bauknecht, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3905 Brookside Pkwy Ste 300, Alpharetta, GA 30022
Phone: 770-442-1911    

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.

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