Eugennie Gloria Williams-rose, - Medicare Nurse Practitioner in Austell, GA

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Eugennie Gloria Williams-rose, is a medicare enrolled "Nurse Practitioner - Family" in Austell, Georgia. Her current practice location is 4760 Austell Rd Ste 3, Austell, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 726-2477.

Eugennie Gloria Williams-rose is licensed to practice in Georgia (license number 10221452) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710695895.

Contact Information

Eugennie Gloria Williams-rose,
4760 Austell Rd Ste 3,
Austell, GA 30106-2007
(770) 726-2477
Not Available

Map and Direction




Provider's Profile

Full NameEugennie Gloria Williams-rose
GenderFemale
SpecialityNurse Practitioner - Family
Location4760 Austell Rd Ste 3, Austell, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710695895
  • Provider Enumeration Date: 11/08/2022
  • Last Update Date: 01/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7012382245
  • Enrollment ID: I20230331000690

Medical Identifiers

Medical identifiers for Eugennie Gloria Williams-rose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710695895NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 10221452 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Eugennie Gloria Williams-rose allows following entities to bill medicare on her behalf.
Entity NamePruitthealth Physicians Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043676299
PECOS PAC ID: 8123327061
Enrollment ID: O20160428000256
Entity NameLivingwell Medical Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306615281
PECOS PAC ID: 3274986690
Enrollment ID: O20240201000319

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eugennie Gloria Williams-rose is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Eugennie Gloria Williams-rose,
3649 Lear Ct,
Douglasville, GA 30135-7745

Ph: (678) 448-8525		Eugennie Gloria Williams-rose,
4760 Austell Rd Ste 3,
Austell, GA 30106-2007

Ph: (770) 726-2477

Reviews and Comments


Nurse Practitioner Nurses in Austell, GA

Mrs. Kelsey Irene Fortier, NP-C
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Practice Location: 1605 Mulkey Rd, Suite 220, Austell, GA 30106
Phone: 470-956-3760    
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Practice Location: 1676 Mulkey Rd, Suite A, Austell, GA 30106
Phone: 678-838-6600    Fax: 678-838-6602
Ms. Kristin L Faine, FNP-C
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Practice Location: 800 E West Connector, Austell, GA 30106
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Shawn Michael Kade, PMHNP-BC
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Medicare: Medicare Enrolled
Practice Location: 1810 Mulkey Rd Ste 202, Austell, GA 30106
Phone: 770-694-6349    
Takiyah Johnson Turks, APRN
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Practice Location: 1625 Hospital North Dr Ste 150, Austell, GA 30106
Phone: 470-732-6950    Fax: 770-739-0138
Elizabeth Bilfinger Hill, AGPCNP
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Medicare: Accepting Medicare Assignments
Practice Location: 3825 Medical Park Dr Ste 100, Austell, GA 30106
Phone: 770-948-5578    
Mrs. Emily Jane Tackett, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 470-732-5201    Fax: 470-792-5209

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.