Julius M Willis Sr.

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

707 Angier Ave NE
Atlanta, GA 30308-2925

Phone

(404) 213-1898

NPI assigned

Nov 2, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Summerset Assisted Living Inc.

  • Adult Day Care Clinic/Center
  • Atlanta, GA
  • NPI 1366963019
  NPD (past) Authorized official

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1457863201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 BENJAMIN E MAYS DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318600",
            "telephone_number": "404-213-1898",
            "fax_number": "866-384-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 ANGIER AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082925",
            "telephone_number": "404-213-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "JULIUS",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "037225000",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Willis-Campbell, DDS
• Zakiya Monique Willis-Copeland
• Erica Willis
• Hannah Noelle Willis
• Holly Willis, RN
• Kamili J Willis
• Kanye Willis, M.D.
• Keniya Willis
• Keysha Nicole Willis, LMSW
• Lacona Rashawn Willis

• Contractor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Contractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.