Wills Medical Group PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0050389 Issued in MD

Legal business name

WILLS MEDICAL GROUP PC

Practice address

14310 Old Marlboro Pike
Upper Marlboro, MD 20772-2840

Phone

(301) 627-1448

Fax

(301) 627-5010

NPI assigned

Jan 3, 2012

Last updated

Apr 20, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John H Wills, MDNPI 1457462806

Title

Owner

Phone

(301) 627-1448

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Herman Wills, M.D.

  • Family Medicine Physician
  • Upper Marlboro, MD
  • NPI 1457462806

  DC

  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1053681460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14310 OLD MARLBORO PIKE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207722840",
            "telephone_number": "301-627-1448",
            "fax_number": "301-627-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14310 OLD MARLBORO PIKE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207722840",
            "telephone_number": "301-627-1448",
            "fax_number": "301-627-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLS MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "WILLS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-627-1448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0050389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Severina Williams
• Tiara Williams, LMSW
• Tiffany Williams, LPC
• Joni Lachelle Williamson-Turner, PSYD, IBCLC
• Willie Simmons
• John Herman Wills, M.D.
• Charles H Wilson IV, LMHP-R
• Jeanine Michelle Wilson, LICSW
• Jennifer Joann Wilson, DDS
• Kendra Wilson

• Family Medicine Physician in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.