Deon Tywonn Willis, MPH

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

315 S 9TH St
Griffin, GA 30224-4111

Phone

(770) 229-3048

Fax

(770) 233-5503

NPI assigned

Nov 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447323597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 THURMAN ST",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302331648",
            "telephone_number": "770-775-5861",
            "fax_number": "770-233-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S 9TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244111",
            "telephone_number": "770-229-3048",
            "fax_number": "770-233-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "DEON",
        "middle_name": "TYWONN",
        "name_prefix": "Miss",
        "credential": "MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Williams
• Shanerica Williams, RPH
• Stacy Williams
• Tanesha Williams, DMD
• Walter Thomas Williams, PHARM.D.
• Subbie Willis
• Megan Elizabeth Wilmot, OT
• Patricia Louise Wilmoth
• Christen E Wilson, MSPT
• Christopher Wilson, PHARM.D.

• Case Manager/Care Coordinator in Griffin, GA
• Providers in Griffin, GA by specialty
• Case Manager/Care Coordinator in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.