Individual provider Active NPI

Willis Fayne Gaffney, MD

  • Family Medicine Physician
  • Stanton, MI
National Provider Identifier
1295704203
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301050158 Issued in MI
Practice address
2939 S Sheridan Rd
Stanton, MI 48888-9285
Phone
(989) 831-9009
Fax
(989) 831-9150
NPI assigned
Mar 14, 2006
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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 4301050158 MI Primary
Surgery Physician 208600000X 4301050158 MI

Addresses

Primary practice location

2939 S Sheridan Rd
Stanton, MI 48888-9285

Mailing address

2939 S Sheridan Rd
Stanton, MI 48888-9285
Phone (989) 831-9009

Other identifiers 1

IdentifierTypeStateIssuer
2729900MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, VI2 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
I20060228000538 MI Practitioner - General PracticePractitioner - General SurgeryPractitioner - Emergency Medicine 5092721068 Reassigns benefits to 2 organizations
I20230412001320 VI Practitioner - General Surgery 5092721068 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: General Surgery
Education
Wayne State University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willis F Gaffney MD PCGroup PAC ID 1658526462, 4 clinicians
Sheridan Community HospitalGroup PAC ID 1658275342, 18 clinicians
Prohealth Urgent Care LLCGroup PAC ID 4385074160, 8 clinicians

Practice addresses (Care Compare)

2939 S Sheridan Rd
Stanton, MI 48888-9285
Phone (989) 831-9009

301 N Main St
Sheridan, MI 48884-9235
Phone (989) 291-3261

6040 Castle Coakley
Christiansted, VI 00820-5343
Phone 3402772096122

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301050158MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plessen Medical Group, LLC CurrentSince Apr 1, 2023 Accepting new patients
Willis F Gaffney M.D. P.C. CurrentSince Oct 15, 2012 Accepting new patients
Sheridan Community Hospital Current Accepting new patients
Sheridan Community Hospital Family Medicine CurrentSince Aug 7, 2011 Accepting new patients
Willis F Gaffney M.D. P.C. Family Medicine CurrentSince Oct 15, 2012 Accepting new patients
Plessen Medical Group, LLC Current Accepting new patients
Plessen Eye, LLC Surgery CurrentSince Apr 1, 2023 Accepting new patients
Prohealth Urgent Care LLC CurrentSince Feb 20, 2024 Accepting new patients
Sheridan Community Hospital Family Medicine Past Accepting new patients
Greenrock Springs Urgent Family Care PC Family Medicine Past Accepting new patients
Health Visions Quest, Inc. Past Accepting new patients

Locations

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

301 N Main St
Sheridan, MI 48884
Phone (989) 291-3261

2939 S Sheridan Rd
Stanton, MI 48888
Phone (989) 831-9009

6040 Castle Coakley
Christiansted, VI 00820
Phone (305) 281-0684

Interoperability endpoints

  • Direct secure messaging: wgaffney@yourcarecommunity.org
  • Direct secure messaging: willis.gaffney.1@20519.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1295704203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 S SHERIDAN RD",
            "city": "STANTON",
            "state": "MI",
            "postal_code": "488889285",
            "telephone_number": "989-831-9009",
            "fax_number": "989-607-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 S SHERIDAN RD",
            "city": "STANTON",
            "state": "MI",
            "postal_code": "488889285",
            "telephone_number": "989-831-9009",
            "fax_number": "989-831-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFFNEY",
        "first_name": "WILLIS",
        "middle_name": "FAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301050158",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301050158",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2729900",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanton, MI

Sources for this page

Verify at the official NPI Registry.