NPIMap

Individual provider Active NPI

Johnnie Springs Willis, MD

  • Obstetrics & Gynecology Physician
  • Bethlehem, PA
National Provider Identifier
1679503163
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD038968L Issued in PA
Practice address
306 S New St Ste 301
Bethlehem, PA 18015-1652
Phone
(484) 526-7060
NPI assigned
Jul 3, 2006
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD038968L PA Primary

Addresses

Primary practice location

306 S New St Ste 301
Bethlehem, PA 18015-1652

Mailing address

306 S New St Ste 301
Bethlehem, PA 18015-1652
Phone (484) 526-7060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080509000268 PA Practitioner - Obstetrics/Gynecology 8921187352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Iowa, RJ & L Carver College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

306 S New St
Bethlehem, PA 18015-1652

306 S New Street
Bethlehem, PA 18015-1652

6689 Sullivan TRL
Wind Gap, PA 18091-9790
Phone (610) 954-4960

6695 Sullivan TRL
Suite 201
Wind Gap, PA 18091-9790
Phone (610) 691-3131

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD038968LPAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Star Community Health, Inc CurrentSince Mar 17, 2019 Accepting new patients
St. Luke's Physician Group Inc. Obstetrics & Gynecology CurrentSince Jul 1, 2016 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Jul 1, 2016 Accepting new patients
Star Community Health, Inc CurrentSince Mar 17, 2019 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients
St. Luke's Physician Group Inc. Obstetrics & Gynecology Past Accepting new patients
A Woman's Place Obstetrics & Gynecology Obstetrics & Gynecology PastSince Jan 1, 1990 Accepting new patients
St. Luke's Physician Group, Inc. Obstetrics & Gynecology Past Accepting new patients

Locations

450 Chew St
#204
Allentown, PA 18102
Phone (610) 776-4758

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1679503163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S NEW ST STE 301",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151652",
            "telephone_number": "484-526-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S NEW ST STE 301",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151652",
            "telephone_number": "484-526-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "JOHNNIE",
        "middle_name": "SPRINGS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD038968L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.