Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Georgia Kelly-Williams

Psychiatric/Mental Health Nurse Practitioner in Deer Park, NY · enumerated 2022.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104545037

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Registry record

Entity type Individual (Type 1)

Name Georgia Kelly-Williams

Sex Female

Practice address 52 Tiber Ave, Deer Park, NY, 11729

Phone (631) 404-8843

Enumeration date Aug 24, 2022

Last updated in NPPES Aug 24, 2022

Taxonomy & licenses

363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 404380 (NY) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1104545037 active?

Yes, as of the latest NPPES snapshot, NPI 1104545037 is active (record last updated 2022-08-24).

How do I verify Georgia Kelly-Williams's NPI record?

Cross-check NPI 1104545037 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-08-24.