Active NPI
John Evan Willis, CRNP
- Nurse Practitioner
- Madison, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1-114309
- Practice address
- 300 Sun Temple Dr
Madison, AL 35758-5919 - Phone
- (256) 325-9111
- Fax
- (256) 325-9113
- NPI assigned
- Mar 8, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-114309 | AL | Primary |
Addresses
Primary practice location
300 Sun Temple Dr
Madison, AL 35758-5919
Mailing address
300 Sun Temple Dr
Madison, AL 35758-5919
Phone (256) 325-9111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1115 Beltline Rd SE
Suite 400
Decatur, AL 35601-6556
Phone (256) 898-3004
Hospital & facility affiliations
- Huntsville Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-114309 | AL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical Clinic LLC | Current | Accepting new patients | |
| Sleep & Pulmonary Care Center, P.C. | Current | Accepting new patients | |
| Southview Medical Clinic LLC | Current | Accepting new patients | |
| Advantage Family Care Inc | Current | Accepting new patients | |
| Midway Medical Clinic LLC | Current | Accepting new patients | |
| Advantage Family Care, Inc. | Current | Accepting new patients | |
| Crestwood Physician Services, LLC | Current | Accepting new patients | |
| Horizon Medical Clinic LLC | Current | Accepting new patients | |
| Valley Pain Clinic LLC | Past | Accepting new patients | |
| Growing Up Pediatrics, P.C. | Past | Accepting new patients | |
| Decatur General Hospital | Past | Accepting new patients |
Locations
1222 Somerville Rd SE
Decatur, AL 35601
Phone (256) 341-0152
1115 Beltline Rd SE
Ste 400
Decatur, AL 35601
Phone (256) 898-3004
307 Main St SW
Hanceville, AL 35077
Phone (256) 352-0188
222 Arkadelphia Rd NE
Hanceville, AL 35077
Phone (256) 352-4767
111 Brooklyn Rd
Holly Pond, AL 35083
Phone (256) 451-1250
1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000
4810 Whitesport Cir SW
Ste 201
Huntsville, AL 35801
Phone (256) 429-5248
12205 County Line Rd
Ste B
Madison, AL 35758
Phone (256) 325-4365
300 Hughes Rd
Ste G2
Madison, AL 35758
Phone (256) 542-0230
2343 2nd Ave E
Oneonta, AL 35121
Phone (205) 625-3332
2345 2nd Ave E
Ste B
Oneonta, AL 35121
Phone (205) 625-3332
27550 State Highway 75
Ste 105
Oneonta, AL 35121
Phone (205) 625-4930
506 Harley St
Scottsboro, AL 35768
Phone (256) 259-1234
Interoperability endpoints
- jwillis@2212.securemail.prognocis.com
- https://api.platform.athenahealth.com/17774/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/3038/brand/1/csg/64/fhir/r4
Organizations & group practices 11
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.
-
- Urgent Care Clinic/Center
- Florence, AL
- NPI 1023447943
-
- Family Medicine Physician
- Huntsville, AL
- NPI 1154622520
-
- Multi-Specialty Clinic/Center
- Oneonta, AL
- NPI 1588904791
-
- Multi-Specialty Clinic/Center
- Scottsboro, AL
- NPI 1083955173
-
- Pulmonary Disease Physician
- Decatur, AL
- NPI 1346406469
-
- Multi-Specialty Clinic/Center
- Hanceville, AL
- NPI 1033554357
-
- Rural Health Clinic/Center
- Athens, AL
- NPI 1518674936
-
- Multi-Specialty Clinic/Center
- Oneonta, AL
- NPI 1386984649
-
- Psychiatric Hospital Unit
- Decatur, AL
- NPI 1326288770
-
- Pediatrics Physician
- Birmingham, AL
- NPI 1356456214
-
- Pain Medicine (Anesthesiology) Physician
- Decatur, AL
- NPI 1386944239
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1275831703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SUN TEMPLE DR",
"city": "MADISON",
"state": "AL",
"postal_code": "357585919",
"telephone_number": "256-325-9111",
"fax_number": "256-325-9113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SUN TEMPLE DR",
"city": "MADISON",
"state": "AL",
"postal_code": "357585919",
"telephone_number": "256-325-9111",
"fax_number": "256-325-9113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "JOHN",
"middle_name": "EVAN",
"name_prefix": "Mr.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-08",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-114309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.