SHANANDRA WILLIAMS (NPI# 1598220378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598220378 |
| Entity Type | Individual |
| Full Name | SHANANDRA WILLIAMS |
| Practice Address |
6325 Hospital Pkwy Johns Creek GA 30097-5775 |
| Mailing Address |
192 Anniversary Ln Acworth GA 30102-2029 |
| Practice Telephone | 6784747832 |
| Mailing Telephone | 3346148221 |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist | 221139 | AL | Eye and Vision Services Providers |
| Street Address |
6325 HOSPITAL PKWY |
| City | JOHNS CREEK |
| State | GA |
| Zip Code | 30097-5775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972504488 | Clyde Tyrone Jacob IIi | Obstetrics & Gynecology | 6325 Hospital Pkwy, Johns Creek, GA 30097-5775 | 2005-08-09 |
| 1437784758 | Brandon John Smercansky | Nurse Anesthetist, Certified Registered | 6325 Hospital Pkwy, Johns Creek, GA 30097-5775 | 2020-03-06 |
| 1255890943 | Rachel Middleton Spagnoli | Registered Nurse | 6325 Hospital Pkwy, Johns Creek, GA 30097-5775 | 2019-03-13 |
| 1952870891 | Lixuan Ma | Nurse Practitioner | 6325 Hospital Pkwy, Johns Creek, GA 30097-5775 | 2018-11-21 |
| 1821590423 | Victor Alan Couch | Registered Nurse | 6325 Hospital Pkwy, Johns Creek, GA 30097-5775 | 2018-02-28 |
| 1346791217 | Emily Ramnarine | Nurse Anesthetist, Certified Registered | 6325 Hospital Pkwy, Johns Creek, GA 30097-5775 | 2016-10-17 |
| 1639540461 | Rano Rakhmanova | Nurse Practitioner | 6325 Hospital Pkwy, Johns Creek, GA 30097 | 2015-10-20 |
| 1255713616 | Keerthi Reddy Padooru | Internal Medicine | 6325 Hospital Pkwy, Johns Creek, GA 30097-5775 | 2015-06-22 |
| 1841678380 | Heba Al Zubaidi | Hospitalist | 6325 Hospital Pkwy, Johns Creek, GA 30097 | 2015-05-18 |
| 1629476767 | Ali Al-zubaidi | Hospitalist | 6325 Hospital Pkwy, Johns Creek, GA 30097-5775 | 2014-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| Taxonomy Code | 156F00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| A broad category grouping different kinds of technologists and technicians. See individual definitions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849809 | Jalyn Calloway | Technician/Technologist | 3655 Howell Ferry Rd Ste 400, Duluth, GA 30096-3186 | 2020-10-25 |
| 1003423153 | Rochelle Wyche | Technician/Technologist | 4920 Roswell Rd Ste 1, Atlanta, GA 30342-2684 | 2020-09-23 |
| 1952925869 | Carolyn White | Technician/Technologist | 2147 Silver Thorn Ct, Lithonia, GA 30058-3585 | 2020-06-05 |
| 1760004584 | Kevin John Weiner | Technician/Technologist | 3301 Buckeye Rd Ste 700, Atlanta, GA 30341-4236 | 2020-05-14 |
| 1568082535 | Shemeka Brownlee | Technician/Technologist | 2773 Spirit Creek Rd, Hephzibah, GA 30815-5985 | 2020-04-20 |
| 1558864710 | Michelle Osborne | Technician/Technologist | 1520 E Water St, Bainbridge, GA 39817-4262 | 2018-03-14 |
| 1376059865 | Lachaun Serena Harper | Technician/Technologist | 5825 Glenridge Dr Ste 101, Atlanta, GA 30328-5387 | 2017-12-19 |
| 1538678255 | Natalie Mckay | Technician/Technologist | 3915 Cascade Rd, 220, Atlanta, GA 30331 | 2017-09-26 |
| 1437465614 | Jay Hanson Wruck | Technician/Technologist | 4318 Edgewater Dr Nw, Kennesaw, GA 30144-5170 | 2010-08-25 |
| 1801052311 | Kwan Ha Lee | Technician/Technologist | 2442 Pleasant Hill Road, Suite 4, Duluth, GA 30096-1700 | 2008-08-04 |
| Find all providers with the same taxonomy | ||||
| City | JOHNS CREEK |
| Zip Code | 30097 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.