Willis Chiropractic Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1154 Issued in GA

Legal business name

WILLIS CHIROPRACTIC CENTER LLC

Practice address

2829 Dallas St
Kennesaw, GA 30144-2722

Phone

(770) 429-0707

NPI assigned

Sep 19, 2007

Last updated

Aug 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William Norris Willis, D.C.NPI 1376572990

Title

Chiropractor

Phone

(770) 429-0707

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William N Willis, D.C.

  • Chiropractor
  • Kennesaw, GA
  • NPI 1376572990
  Medicare reassignment Care Compare group NPD Authorized official
• Nancy Kay Willis, D.C.

  • Chiropractor
  • Kennesaw, GA
  • NPI 1437188927
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1790971240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 DALLAS ST",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442722",
            "telephone_number": "770-429-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 DALLAS ST",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442722",
            "telephone_number": "770-429-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIS CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "NORRIS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "770-429-0707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "1154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mya L Williams, APRN
• Olivia Williams
• Olivia Kate Williams
• Anjali Williamson, DDS
• Stacey Willingham, M.D.
• Willis Family Chiropractic, LLC
• Amy Dee Willis, D.C.
• Justin Kyle Willis, D.C.
• Nancy Kay Willis, D.C.
• William N Willis, D.C.

• Chiropractor in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.