Brenda Sue Willis, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

201002109 Issued in NC

Practice address

751 S Laurel St
Lincolnton, NC 28092-3622

Phone

(980) 284-2005

Fax

(980) 284-2008

NPI assigned

Dec 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Psychiatry

Education

University of Florida College of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Coastal Southeastern United Care LLC

  • Community/Behavioral Health Agency
  • Supply, NC
  • NPI 1346477403
  Medicare reassignment NPD
• Daymark Recovery Services, Inc.

  • Multi-Specialty Clinic/Center
  • Concord, NC
  • NPI 1558329243

  Psychiatry

  Medicare reassignment NPD
• DLP Haywood Regional Medical Center LLC

  • Emergency Medicine Physician
  • Clyde, NC
  • NPI 1336542067
  Medicare reassignment NPD
• Monarch

  • Community/Behavioral Health Agency
  • Albemarle, NC
  • NPI 1801116405
  Medicare reassignment NPD
• Novant Health Medical Group, LLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Charlotte, NC
  • NPI 1366409492
  Medicare reassignment NPD
• Rha Health Services Inc

  • Community/Behavioral Health Agency
  • Concord, NC
  • NPI 1447376306
  Medicare reassignment NPD
• DLP Haywood Regional Medical Center LLC

  • Psychiatric Hospital Unit
  • Clyde, NC
  • NPI 1568618379
  NPD
• Monarch

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1073267126
  NPD
• Novant Health Medical Group, LLC

  • Obstetrics & Gynecology Physician
  • Matthews, NC
  • NPI 1386506137
  NPD
• Novant Health Medical Group, LLC

  • Psychiatry Physician
  • Salisbury, NC
  • NPI 1528372927
  NPD
• Rha Health Services Inc

  • Community/Behavioral Health Agency
  • Morganton, NC
  • NPI 1649546680
  NPD
• Rha Health Services, Inc

  • Community/Behavioral Health Agency
  • Yanceyville, NC
  • NPI 1629489307
  NPD

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1831372721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 S LAUREL ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923622",
            "telephone_number": "980-284-2005",
            "fax_number": "980-284-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 S LAUREL ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923622",
            "telephone_number": "980-284-2005",
            "fax_number": "980-284-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "BRENDA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "201002109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "176C4",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Talla Motakef Widelock, MD
• Melissa Anne Will, MD
• William D Hitt
• James Thomas Williams, CRNA
• Victoria Williams
• Lauren Nicole Winbourne, PA
• Lavonia Carter Womack, NP
• Sarah Catherine Wood, LCSWA
• Aleshia Woods
• Shaquille Jalil Woods

• Psychiatry Physician in Lincolnton, NC
• Providers in Lincolnton, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.