Individual provider Active NPI

Celeste Reese Willis, MD

  • Family Medicine Physician
  • Birmingham, AL
National Provider Identifier
1104893809
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26026 Issued in AL
Practice address
401 Tuscaloosa Ave SW Ste 210
Birmingham, AL 35211-1486
Phone
(205) 291-8842
Fax
(205) 235-9592
NPI assigned
Mar 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26026 AL Primary

Addresses

Primary practice location

401 Tuscaloosa Ave SW Ste 210
Birmingham, AL 35211-1486

Mailing address

944 Narrows Point Dr
Birmingham, AL 35242-8672
Phone (205) 291-8842

Other identifiers 6

IdentifierTypeStateIssuer
167582201OtherFEDERAL BLACK LUNG
51536439OtherALBCBS
783802OtherAETNA
009938946MedicaidAL
631053058026OtherALTRICARE
I16326OtherALHEALTHSPRING OF AL

Other names 1

  • Celeste S Reese Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040924000656 AL Practitioner - Family PracticePractitioner - General Practice 3779552963 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

151 N 20TH St
Opelika, AL 36801-5423
Phone (334) 203-1777

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Stopwatch Urgent Care Centers LLC CurrentSince Aug 1, 2024 Accepting new patients
Dr Celeste Reese Willis Medical Group, LLC Family Medicine CurrentSince Jul 11, 2020 Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Sep 15, 2008 Accepting new patients
American Family Care, LLC CurrentSince Sep 15, 2008 Accepting new patients
Singing River Healthcare, LLC PastSince Jul 24, 2017 Accepting new patients
Lister Healthcare Corporation Family Medicine Past Accepting new patients

Locations

2415 Moores Mill Rd
Unit 230
Auburn, AL 36830
Phone (334) 502-1117

1201 19th St N
Birmingham, AL 35234
Phone (205) 291-8842

401 Tuscaloosa Ave SW
Ste 210
Birmingham, AL 35211
Phone (205) 780-8980

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

4305 Atlanta Hwy
Montgomery, AL 36109
Phone (334) 271-7051

151 N 20th St
Opelika, AL 36801
Phone (334) 203-1777

110 Legacy Park Way
Springville, AL 35146
Phone (205) 719-1000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1104893809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 NARROWS POINT DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352428672",
            "telephone_number": "205-291-8842",
            "fax_number": "205-235-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 TUSCALOOSA AVE SW STE 210",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111486",
            "telephone_number": "205-291-8842",
            "fax_number": "205-235-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE WILLIS",
        "first_name": "CELESTE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "26026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "167582201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51536439",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "783802",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009938946",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "631053058026",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING OF AL",
            "identifier": "I16326",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CELESTE",
            "last_name": "REESE",
            "middle_name": "S",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.