Joseph Ray Willis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3487 Issued in SC

Practice address

1501 Heritage LN
Florence, SC 29505-3141

Phone

(843) 665-6777

Fax

(843) 665-6677

NPI assigned

Aug 20, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Willis Wellness Group

  • General Practice Physician
  • Florence, SC
  • NPI 1356905087
  Medicare reassignment NPD Authorized official
• Eads Chiropractic Wellness

  • Chiropractor
  • Florence, SC
  • NPI 1740268762
  NPD (past)
• Eads Chiropractic Wellness Centers

  • Chiropractor
  • Darlington, SC
  • NPI 1770561797
  NPD (past)

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1275765448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 RUTLEDGE MANOR DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295018053",
            "telephone_number": "843-665-6777",
            "fax_number": "843-665-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 HERITAGE LN",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295053141",
            "telephone_number": "843-665-6777",
            "fax_number": "843-665-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "JOSEPH",
        "middle_name": "RAY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC LISC",
            "identifier": "3487",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michiko Williamson
• Teesha M Williamson, BSW
• Willis Chiro Med of Florence LLC
• Willis Wellness Group
• Johnny R Willis, LPCI CACI
• Steele Lane Willoughby
• Brian C Willson, CRNA
• Wilner Medical Assoicates PA
• Lane A Wilner, MD
• Wilson Senior Care Honorage LLC

• Chiropractor in Florence, SC
• Providers in Florence, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.