Active NPI
Noah E Wills III, M.D.
- General Practice Physician
- Decatur, GA
National Provider Identifier
1124015938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 39014
- Practice address
- 1116 E Ponce de Leon Ave
Decatur, GA 30030-2711 - Phone
- (404) 377-7669
- Fax
- (404) 377-8536
- NPI assigned
- Oct 6, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 39014 | GA | Primary |
Addresses
Primary practice location
1116 E Ponce de Leon Ave
Decatur, GA 30030-2711
Mailing address
1116 E Ponce de Leon Ave
Decatur, GA 30030-2711
Phone (404) 377-7669
Other practice location 1
3430 Highway 20 SE
Conyers, GA 30013-2868
Phone (770) 922-4482
Other practice location 2
119 Sycamore Dr
Athens, GA 30606-3448
Phone (706) 850-2121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Obstetrics and Gynecology | Obstetrics & Gynecology | Past | Accepting new patients |
| Alliance Recovery Center, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Methadone Clinic
- Decatur, GA
- NPI 1003953548
-
- Obstetrics & Gynecology Physician
- Decatur, GA
- NPI 1780854257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1124015938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 E PONCE DE LEON AVE",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302711",
"telephone_number": "404-377-7669",
"fax_number": "404-377-8526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 E PONCE DE LEON AVE",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302711",
"telephone_number": "404-377-7669",
"fax_number": "404-377-8536"
}
],
"practiceLocations": [
{
"address_1": "3430 Highway 20 SE",
"address_purpose": "LOCATION",
"city": "Conyers",
"state": "GA",
"postal_code": "300132868",
"country_code": "US",
"telephone_number": "770-922-4482",
"fax_number": "770-922-4640",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "119 Sycamore Dr",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "GA",
"postal_code": "306063448",
"country_code": "US",
"telephone_number": "706-850-2121",
"fax_number": "706-850-2120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLS",
"first_name": "NOAH",
"middle_name": "E",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "39014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.