Brian Willis

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Practice address

506 Manchester Expy Ste a
Columbus, GA 31904-6444

Phone

(706) 653-9343

Fax

(706) 653-9242

NPI assigned

Apr 8, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1336568336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 9TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319063206",
            "telephone_number": "706-653-9343",
            "fax_number": "706-653-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 MANCHESTER EXPY STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046444",
            "telephone_number": "706-653-9343",
            "fax_number": "706-653-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "BRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanaeja L Williamson
• Trina Marie Williamson, FNP
• Aubrey Williford
• April Lynn Willis
• Bianca Willis
• Bryon Willis
• Denetrice Willis
• Emily Willis, FNP
• Howard Willis, M.D.
• Kisa Willis

• Developmentally Disabled Services Day Training Agency in Columbus, GA
• Providers in Columbus, GA by specialty
• Developmentally Disabled Services Day Training Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.