Kayellen W Willoughby, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

14579 Issued in AL

Practice address

4600 Highway 280 Ste 100
Birmingham, AL 35242-5185

Phone

(205) 408-1231

Fax

(205) 408-1229

NPI assigned

Jul 10, 2006

Sex

Female

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

Enrolled in AL

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 1

Specialty

General SurgeryAlso: Family Practice

Education

University of South Alabama College of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Med Help 280 LLCGroup PAC ID 6800849860, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kay.willoughby.1@17217.direct.athenahealth.com

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.

• Med Help 280 LLC

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1174681654
  Medicare reassignment Care Compare group NPD
• Med Help PC

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1083772560
  Medicare reassignment
• Hedden Plastic Surgery

  • Plastic Surgery Physician
  • Birmingham, AL
  • NPI 1215989306
  NPD
• HGD, Inc

  • Dermatology Physician
  • Mountain BRK, AL
  • NPI 1902439417
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Affinity Hospital LLC

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1023061405
  Care Compare affiliation

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1386678118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 HIGHWAY 280",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425185",
            "telephone_number": "205-408-1231",
            "fax_number": "205-408-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 HIGHWAY 280 STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425185",
            "telephone_number": "205-408-1231",
            "fax_number": "205-408-1229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Highland Lakes Trl",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352426855",
            "country_code": "US",
            "telephone_number": "205-408-2522",
            "fax_number": "205-980-1334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLOUGHBY",
        "first_name": "KAYELLEN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "14579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent Avery Willis, MD
• Mercedees Willis
• Sarah Outlaw Willis
• Courtney Lee Willoughby, MSN, WHNP
• Kala Willoughby, CRNP
• Ellen Elizabeth Wills, MD
• Jada Wills
• Toni Wills
• Bria Rene Wilson Hardy, OTR/L
• Aaron David Wilson

• Specialist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.

Verify at the official NPI Registry.