Individual provider Active NPI

James L. Willis, D.O.

  • Hospitalist Physician
  • Tavares, FL
National Provider Identifier
1154322915
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
OS8915 Issued in FL
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
268324500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040207000228 FL Practitioner - Emergency MedicinePractitioner - Family Practice 5597658914 Reassigns benefits to 7 organizations
I20211013002135 TN Practitioner - Family Practice 5597658914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Helping Hands Physicians Group LLCGroup PAC ID 8921431891, 16 clinicians
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

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

LicenseStateTypeSpecialty
4485TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Best Practice Family Care PLLC CurrentSince Sep 7, 2021 Accepting new patients
Ridgewood Physician Services, LLC Hospitalist CurrentSince Sep 29, 2019 Accepting new patients
Inpatient Consultants of Florida, Inc Hospitalist CurrentSince Sep 25, 2017 Accepting new patients
Inpatient Consultants of Florida Inc Hospitalist CurrentSince Sep 25, 2017 Accepting new patients
Central Florida Hospitalist Partners PA Hospitalist CurrentSince Apr 13, 2013 Accepting new patients
Central Florida Inpatient Medicine LLC CurrentSince Mar 10, 2018 Accepting new patients
Pioneer Medical Group, PL Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince Oct 1, 2018 Accepting new patients
A Helping Hands Physicians Group LLC CurrentSince Dec 31, 2025 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 PastSince Oct 11, 2004 Accepting new patients
John Thomas Littell,M.D.,P.a. Family Medicine PastSince Sep 1, 2003 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

  • FHIR API: https://api.platform.athenahealth.com/24020/brand/1/csg/1/fhir/r4
  • Direct secure messaging: james.willis.1@24020.direct.athenahealth.com
  • Direct secure messaging: 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.

View all 15

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.