Individual provider Active NPI

Patrick D Willis, MD

  • Interventional Cardiology Physician
  • Athens, GA
National Provider Identifier
1649317991
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
58835 Issued in GA
Practice address
2470 Daniells Bridge Rd Ste 251
Athens, GA 30606-6192
Phone
(706) 389-3440
Fax
(706) 353-2205
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 58835 GA Primary

Addresses

Primary practice location

2470 Daniells Bridge Rd Ste 251
Athens, GA 30606-6192

Mailing address

PO Box 48089
Athens, GA 30604-8089
Phone (706) 389-3740

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions
Direct Messaging Address pwillis2022185@direct.trinity-health.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110801000858 GA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4688843014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Medical College of Georgia School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Mary'S Medical Group, Inc.Group PAC ID 7113098393, 118 clinicians

Practice addresses (Care Compare)

1230 Baxter St
Athens, GA 30606-3712
Phone (706) 389-3000

1500 Oglethorpe Ave
Suite 3700
Athens, GA 30606-2191
Phone (706) 389-3440

2470 Daniells Bridge Rd
Athens, GA 30606-6188

2470 Daniells Bridge Rd
Athens, GA 30606-6192

868 Michael Etchison Rd
Monroe, GA 30655-8204

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
58835GAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Medical Group, Inc. CurrentSince Aug 1, 2011 Accepting new patients
St Mary'S Medical Group, Inc Cardiovascular Disease Current Accepting new patients
St. Mary'S Medical Group, Inc. CurrentSince Aug 1, 2011 Accepting new patients

Locations

740 Prince Ave
Ste 2
Athens, GA 30606
Phone (706) 548-5488

2470 Daniells Bridge Rd
Ste 251
Athens, GA 30606
Phone (706) 310-1859

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

1500 Oglethorpe Ave
Ste 3700
Athens, GA 30606
Phone (401) 952-8370

1110 Commerce Dr
Ste 108
Greensboro, GA 30642
Phone (706) 310-1859

367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-7800

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7598/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St. Mary'S Health Care SystemGreensboro, GA, CCN 111329 Hospital Corporate Director Jan 1, 2026
St. Mary'S Health Care SystemGreensboro, GA, CCN 11Z329 Hospital Corporate Director Jan 1, 2026
St. Mary'S Health Care SystemAthens, GA, CCN 110006 Hospital Corporate Officer
Corporate Director
Jan 1, 2023
Jan 1, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1649317991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48089",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306048089",
            "telephone_number": "706-389-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 DANIELLS BRIDGE RD STE 251",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066192",
            "telephone_number": "706-389-3440",
            "fax_number": "706-353-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "PATRICK",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "58835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pwillis2022185@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2470 Daniels Bridge Rd Ste 251",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306066192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.