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Deactivated NPI 1841309648 Deactivated / Inactive NPI Female Practitioner

Malissa Harkleroad Williams , CRNP

Nurse Practitioner • Dothan, AL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Malissa Williams has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 29, 2006
NPI Deactivation Date April 24, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Malissa Williams, CRNP was a registered Nurse Practitioner practicing in Dothan, AL. Throughout an active medical career spanning 19 years, Malissa Williams provided care at the practice location at 3753 ROSS CLARK CIR until profile deactivation on 2025-04-24.

Practice Location & Contact Primary Location

Practice Address

3753 Ross Clark Cir
Suite 4

Dothan, AL 363032295

Telephone 3346781903

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Dothan, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
81 Specialists

Practicing in Dothan, AL (1475 Statewide)

Telehealth Adoption Rate
2.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License AL 1055878

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
David Mohatt , LCSW

Social Worker - Clinical

NPI 1447704952

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 24, 2025

Record deactivated on April 24, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3753 ROSS CLARK CIR, SUITE 4, DOTHAN, AL 363032295 (Tel: 3346781903)

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Updated Business Mailing Address July 08, 2007

Registered at 102 MONTROSE COURT #17, DOTHAN, AL 36306 (Tel: 3346711816)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MALISSA WILLIAMS, CRNP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #1055878 in AL)

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Initial NPI Registration & Enumeration August 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841309648
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2006
Last Update: July 08, 2007
Deactivation Date: April 24, 2025

Mailing Address

102 Montrose Court #17

Dothan, AL 36306

Phone: 3346711816

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.