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

Thomas James Williams, NP-C

Individual provider Gerontology Nurse Practitioner · NPI 1639627029

Thomas James Williams, NP-C is a Nurse Practitioner in Valdosta, Georgia. Qualified in 2016, 10 years ago. Practices with Sgmc Physician Network Inc, a 127-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2016
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

101 W Northside Dr
Valdosta, GA 31602-1714
Phone: (229) 293-9555
Show map & directions

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

Additional practice locations (1)

  • 2209 Pineview Dr, Valdosta, GA 31602-7316 — (229) 236-0831

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence RN128779 (GA)

Record details

NPI number1639627029
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorYes
NPI enumeratedSeptember 14, 2016
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address4210 Brushy Creek Rd, Sparks, GA 31647-4106

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Sgmc Physician Network Inc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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