Eva Avino Willauer, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

8488 Issued in GA

Practice address

460 Northside Cherokee Blvd Ste 150
Canton, GA 30115-8018

Phone

(470) 639-6250

Fax

(770) 345-0712

NPI assigned

Jun 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: eva.willauer.1@14940.direct.athenahealth.com

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.

• Ascend Medical Georgia II PC

  • Psychiatry Physician
  • Atlanta, GA
  • NPI 1659966075
  Medicare reassignment
• Ascend Medical Georgia PC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1841800836
  Medicare reassignment
• Emory Specialty Associates, LLC

  • Anesthesiology Physician
  • Lagrange, GA
  • NPI 1407864168
  NPD (past)

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1174887822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 CRABAPPLE LN",
            "city": "FRANKLIN PARK",
            "state": "NJ",
            "postal_code": "088231416",
            "telephone_number": "678-862-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 NORTHSIDE CHEROKEE BLVD STE 150",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158018",
            "telephone_number": "470-639-6250",
            "fax_number": "770-345-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLAUER",
        "first_name": "EVA",
        "middle_name": "AVINO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "8488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Russell Wiener, MD
• Memorie S Wilcoxon, PHARMD
• David Wilder, DMD
• Kevin F Wildes, LPTA,CSCS
• Ashlyn Wilkins, LCSW
• Alison Marie Williams
• Ashley Williams
• Carol Anne Williams, PTA
• Christian Demor Williams, FNP
• Haley Williams

• Physician Assistant in Canton, GA
• Providers in Canton, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.