Active NPI
James L. Willis, D.O.
- Hospitalist Physician
- Tavares, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- OS8915
- Practice address
- 1741 David Walker Dr
Tavares, FL 32778-5745 - Phone
- (352) 742-8836
- Fax
- (352) 742-8829
- NPI assigned
- Aug 2, 2005
- Last updated
- Aug 22, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS8915 | FL | |
| Hospitalist Physician | 208M00000X | OS8915 | FL | Primary |
Addresses
Primary practice location
1741 David Walker Dr
Tavares, FL 32778-5745
Mailing address
1741 David Walker Dr
Tavares, FL 32778-5745
Phone (352) 742-8836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 268324500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
267 Osprey Hammock TRL
Sanford, FL 32771-8117
Phone (407) 545-6232
60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone (386) 586-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4485 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Practice Family Care PLLC | Current | Accepting new patients | |
| Ridgewood Physician Services, LLC | Hospitalist | Current | Accepting new patients |
| Inpatient Consultants of Florida, Inc | Hospitalist | Current | Accepting new patients |
| Inpatient Consultants of Florida Inc | Hospitalist | Current | Accepting new patients |
| Central Florida Hospitalist Partners PA | Hospitalist | Current | Accepting new patients |
| Central Florida Inpatient Medicine LLC | Current | Accepting new patients | |
| Pioneer Medical Group, PL | Family Medicine | Current | Accepting new patients |
| Florida Hospital Healthcare Partners, Inc | Current | Accepting new patients | |
| A Helping Hands Physicians Group LLC | Current | Accepting new patients | |
| Hunter's Creek Urgent Care Center | Past | Accepting new patients | |
| Adventist Health System-Sunbelt, Inc | Past | Accepting new patients | |
| Celebration Urgent Care Center PLLC | Past | Accepting new patients | |
| James L Willis DO PA | Family Medicine | Past | Accepting new patients |
| John Thomas Littell,M.D.,P.a. | Family Medicine | Past | Accepting new patients |
| Pine Castle Urgent Care Center PLLC | Past | Accepting new patients |
Locations
515 Wekiva Commons Cir
Apopka, FL 32712
Phone (407) 464-9516
40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496
525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
7727 Lk Under Hl
Orlando, FL 32822
Phone (407) 303-6413
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222
38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608
2137 Volunteer Pkwy
Ste 5
Bristol, TN 37620
Phone (423) 722-5000
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/24020/brand/1/csg/1/fhir/r4
- james.willis.1@24020.direct.athenahealth.com
- jwillis129624@adventhealth.direct-ci.com
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Lake Mary, FL
- NPI 1922649367
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
-
- Hospitalist Physician
- Orlando, FL
- NPI 1558381921
-
- Internal Medicine Physician
- Lake Mary, FL
- NPI 1649228859
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1396795597
Hospitalist
-
- Internal Medicine Physician
- Temple Terrace, FL
- NPI 1710315775
Family Medicine
-
- Hospitalist Physician
- Davenport, FL
- NPI 1295216034
-
- Family Nurse Practitioner
- Bristol, TN
- NPI 1144809757
-
- Family Medicine Physician
- Crestview, FL
- NPI 1710173638
-
- Hospitalist Physician
- Tampa, FL
- NPI 1457511164
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinic/Center
- Celebration, FL
- NPI 1326214909
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
dba AdventHealth Waterman
- General Acute Care Hospital
- Tavares, FL
- NPI 1821019571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471824000000",
"number": "1154322915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1741 DAVID WALKER DR",
"city": "TAVARES",
"state": "FL",
"postal_code": "327785745",
"telephone_number": "352-742-8836",
"fax_number": "352-742-8829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1741 DAVID WALKER DR",
"city": "TAVARES",
"state": "FL",
"postal_code": "327785745",
"telephone_number": "352-742-8836",
"fax_number": "352-742-8829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "JAMES",
"middle_name": "L.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2016-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS8915",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "OS8915",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "268324500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.