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

Michael David Williams, NP-C

Individual provider Nurse Practitioner · NPI 1174139182

Michael David Williams, NP-C is a Nurse Practitioner in Southaven, Mississippi. Qualified in 2020, 6 years ago. Practices with Campbell Clinic, PC, a 225-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Mississippi and Tennessee.

Years since qualifying
6
Licensed in
MS, TN
In the registry since
2020
Specialties on file
3
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

7900 Airways Blvd Bldg B102
Southaven, MS 38671-4118
Phone: (662) 349-9023
Fax: (662) 349-9023
Show map & directions

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

Additional practice locations (3)

  • 125 Guthrie Dr, Southaven, MS 38671-5829 — (901) 252-3400
  • 6029 Walnut Grove Rd Ste 403, Memphis, TN 38120-2112 — (901) 261-7836
  • 3950 New Covington Pike Ste 340, Memphis, TN 38128-2593 — (901) 372-3453

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 28243 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence WILL-45YJ7O (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 211443 (TN)

Record details

NPI number1174139182
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedSeptember 16, 2020
Last updated in NPPESJune 21, 2022
Certification dateJune 21, 2022
Mailing address6077 Primacy Pkwy Ste 140, Memphis, TN 38119-5754

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Campbell Clinic, Pc — 225 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Southaven