Individual provider Active NPI

Leanne Kay Willis, MD

  • Neurology Physician
  • Thomasville, NC
National Provider Identifier
1750337929
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
36294 Issued in NC
Practice address
1219 Lexington Ave Ste B
Thomasville, NC 27360
Phone
(336) 481-1880
Fax
(336) 481-1889
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 36294 NC Primary

Addresses

Primary practice location

1219 Lexington Ave Ste B
Thomasville, NC 27360

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 481-1880

Other practice location 1

606 N Elm St
High Point, NC 27262-4336
Phone (336) 889-8877

Other practice location 2

606 N Elm St
High Point, NC 27262-4336
Phone (336) 889-8877

Other identifiers 1

IdentifierTypeStateIssuer
8988193MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lwillis201142@direct.novanthealth.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080320000574 NC Practitioner - Neurology 1658457379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Texas Medical School at Houston, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wake Forest Health Network LLCGroup PAC ID 4183538895, 276 clinicians

Practice addresses (Care Compare)

1814 Westchester Dr
Suite 401
High Point, NC 27262-7369
Phone (336) 802-2080

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Jan 1, 2023 Accepting new patients
Johnson Neurological Clinic, Inc. Neurology Past Accepting new patients

Locations

223 W Ward St
Asheboro, NC 27203
Phone (336) 629-3500

606 N Elm St
High Point, NC 27262
Phone (336) 884-0224

1814 Westchester Dr
Ste 401
High Point, NC 27262
Phone (336) 802-2080

1219 Lexington Ave
Ste B
Thomasville, NC 27360
Phone (336) 475-0113

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Interoperability endpoints

  • Direct secure messaging: lwillis2754238@carolinashealthcaresystem.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1750337929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "336-481-1880",
            "fax_number": "336-481-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 LEXINGTON AVE STE B",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "27360",
            "telephone_number": "336-481-1880",
            "fax_number": "336-481-1889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 N Elm St",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272624336",
            "country_code": "US",
            "telephone_number": "336-889-8877",
            "fax_number": "336-889-7832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 N Elm St",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272624336",
            "country_code": "US",
            "telephone_number": "336-889-8877",
            "fax_number": "336-889-7832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "LEANNE",
        "middle_name": "KAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "36294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8988193",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lwillis201142@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "606 N Elm St",
            "city": "High Point",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272624336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Thomasville, NC

Sources for this page

Verify at the official NPI Registry.