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

Kendall Williams

Individual provider Family Nurse Practitioner · NPI 1720846652

Kendall Williams is a Nurse Practitioner in Holly Springs, Georgia. Qualified in 2023, 3 years ago. Practices with Northside Primary Care Professional Services, LLC, a 311-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

684 Sixes Rd Ste 105
Holly Springs, GA 30115-8720
Phone: (678) 388-5170
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 RN289514 (GA)

Record details

NPI number1720846652
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 6, 2024
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024
Mailing address406 Sugar Maple Ct, Canton, GA 30114-7182

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northside Primary Care Professional Services,Llc — 311 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Holly Springs