David P. Willett, MD,PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11946 Issued in SC

Practice address

5-B East Owens Lane
Mauldin, SC 29662-2635

Phone

(864) 288-4765

NPI assigned

Jan 9, 2007

Last updated

Apr 16, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

Practice roles

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.

• David P Willett M.D.

  • Family Medicine Physician
  • Mauldin, SC
  • NPI 1023223534
  NPD (past) Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1679622062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1004",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296621004",
            "telephone_number": "864-288-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5-B EAST OWENS LANE",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622635",
            "telephone_number": "864-288-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLETT",
        "first_name": "DAVID",
        "middle_name": "P.",
        "credential": "MD,PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "11946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Dianne Degarmo White
• Whole Soul Counsel
• Lisa Wight
• Willbrun Premium Shuttle Service LLC
• Carlin Willett, DNP, APRN, FNP-C
• Latonya L Williams
• Rayvnn Williams
• Shannon Leverette Williamson, P.H.D.
• Jennifer Wise
• Sheila Howell Woods, M.D.

• Family Medicine Physician in Mauldin, SC
• Providers in Mauldin, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.