Active NPI
Willis F Gaffney M.D. P.C.
- Family Medicine Physician
- Stanton, MI
National Provider Identifier
1811235591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301050158
- Legal business name
- WILLIS F GAFFNEY M.D. P.C.
- Practice address
- 2939 S Sheridan Rd
Stanton, MI 48888-9285 - Phone
- (989) 831-9009
- Fax
- (989) 831-9150
- NPI assigned
- Jan 30, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Willis Fayne Gaffney, M.D. P.C
- Title
- Physician/Owner
- Phone
- (989) 831-9009
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301050158 | MI | Primary |
Addresses
Primary practice location
2939 S Sheridan Rd
Stanton, MI 48888-9285
Mailing address
2939 S Sheridan Rd
Stanton, MI 48888-9285
Phone (989) 831-9009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2729900 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130228000291 | MI | Part B Supplier - Clinic/Group Practice | 1658526462 |
Receives reassigned benefits from 8 practitioners Practice locations: Sheridan, MI; Stanton, MI; Carson City, MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775692800000",
"number": "1811235591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2939 S SHERIDAN RD",
"city": "STANTON",
"state": "MI",
"postal_code": "488889285",
"telephone_number": "989-831-9009",
"fax_number": "989-607-6875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2939 S SHERIDAN RD",
"city": "STANTON",
"state": "MI",
"postal_code": "488889285",
"telephone_number": "989-831-9009",
"fax_number": "989-831-9150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIS F GAFFNEY M.D. P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-30",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A",
"authorized_official_last_name": "GAFFNEY",
"authorized_official_first_name": "WILLIS",
"authorized_official_middle_name": "FAYNE",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "989-831-9009",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D. P.C"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MI",
"license": "4301050158",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2729900",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stanton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.