Willow Creek Real Estates Properties

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WILLOW CREEK REAL ESTATES PROPERTIES

Practice address

2738 Walden Rd
Macon, GA 31216-7524

Phone

(478) 788-2118

NPI assigned

Mar 12, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Cryshenda Worthy

Title

Regional Administrator

Phone

(478) 319-5805

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1487412532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 N HOUSTON LAKE BLVD",
            "city": "CENTERVILLE",
            "state": "GA",
            "postal_code": "310281120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2738 WALDEN RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312167524",
            "telephone_number": "478-788-2118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 N Houston Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "GA",
            "postal_code": "310281120",
            "country_code": "US",
            "telephone_number": "478-953-2153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILLOW CREEK REAL ESTATES PROPERTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "WORTHY",
        "authorized_official_first_name": "CRYSHENDA",
        "authorized_official_title_or_position": "REGIONAL ADMINISTRATOR",
        "authorized_official_telephone_number": "478-319-5805",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya F Williams, PA-AA
• John T Williamson, P.T.
• Rondrick Eshon Williamson
• Paul D Willis, LDO
• Sydney Willis
• Willowsway, LLC
• Wilson Counseling Service, LLC
• Jeffrey A Wilson-Reese, PSY.D.
• Amber A Wilson, FNP-C
• Annjanette Wilson

• Assisted Living Facility in Macon, GA
• Providers in Macon, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.