Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Imiyah Williams

Individual provider Family Nurse Practitioner · NPI 1164278362

Imiyah Williams is a Family Practice in Leesburg, Georgia. Qualified in 2023, 3 years ago. Practices with Phoebe Physician Group Inc, a 432-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2024

Practice location Address checks out

1224 US Highway 19 S
Leesburg, GA 31763-4877
Phone: (229) 312-7401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F11230513 (GA)

Record details

NPI number1164278362
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 29, 2024
Last updated in NPPESApril 29, 2024
Certification dateApril 28, 2024
Mailing address1224 Us Highway 19 S, Leesburg, GA 31763-4877

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Phoebe Physician Group Inc — 432 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Leesburg