Willowwood Nursing Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WILLOWWOOD NURSING CENTER INC

Doing business as

WillowWood Nursing Center

Practice address

4595 Cantrell Rd
Flowery Branch, GA 30542-3304

Phone

(770) 967-2070

Fax

(770) 967-4312

NPI assigned

Aug 10, 2005

Organization subpart

No

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

Authorized official

Name

Robert Hagan

Title

President

Phone

(770) 993-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WillowWood Nursing Center Doing business as

Locations

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1184626160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 CANTON ST STE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754240",
            "telephone_number": "770-993-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4595 CANTRELL RD",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305423304",
            "telephone_number": "770-967-2070",
            "fax_number": "770-967-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWWOOD NURSING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "HAGAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-993-4000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000271829A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WillowWood Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WillowWood Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wheelie Good Wheelchairs LLC
• Tracy White
• Carla P. Whitlow, PA
• Pamlea Harris Wilder
• Jennifer E Williams, PT, DPT
• Willowwood Pac LLC
• Barbara Wilson, PH.D., LPC
• Christiane Wilson
• Latoya Wilson, CNA
• Pamela Wilson, OTR/L

• Skilled Nursing Facility in Flowery Branch, GA
• Providers in Flowery Branch, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.