Evan George Willing III, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC001058 Issued in TN

Practice address

103 Jordan Drive
Suite 8
Chattanooga, TN 37421

Phone

(423) 499-0102

Fax

(423) 499-9857

NPI assigned

Aug 14, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Willing Family Chiropractic

  • Chiropractor
  • Chattanooga, TN
  • NPI 1780001107
  NPD (past) Authorized official

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861405458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 JORDAN DRIVE",
            "address_2": "SUITE 8",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "423-499-0102",
            "fax_number": "423-499-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 JORDAN DRIVE",
            "address_2": "SUITE 8",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "423-499-0102",
            "fax_number": "423-499-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLING",
        "first_name": "EVAN",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC001058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0164888",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avery Williamson, RBT
• Michael D Williamson, CRNA
• Savannah Williamson, APRN
• Williford Optical, Inc.
• Willing Family Chiropractic
• Abigail Payton Willingham, CRNA
• Alexis Taliaferro Willingham
• Trenton Willingham, M.D.
• Karen D Willis
• Andrea Marie Wilson, CPM

• Chiropractor in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.