Willing Helpers Medical, Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

WILLING HELPERS MEDICAL, INC

Practice address

4186 Mill St NE Ste a
Covington, GA 30014-2561

Phone

(678) 625-8317

Fax

(678) 487-5824

NPI assigned

Oct 26, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Phillips, MSW

Title

Executive Director

Phone

(678) 625-8317

Specialties & licenses 1

Addresses

Other names 1

• Willing Helpers Free Clinic Doing business as

Locations

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1902523210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4186 MILL ST NE STE A",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142561",
            "telephone_number": "678-625-8317",
            "fax_number": "678-487-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4186 MILL ST NE STE A",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142561",
            "telephone_number": "678-625-8317",
            "fax_number": "678-487-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLING HELPERS MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "678-625-8317",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willing Helpers Free Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Claudia C. Williams, MSN APRN FNP-C
• David E Williams, CAMS
• Katrina Williams
• Pamela Williams
• Terry Williams
• Jasmine T Willis
• Darryel Alexander Wilson, MD
• Rochelle Wilson, LPC
• Cidney Chester Windom, FNP-C
• Ashley Winter

• Health Service Clinic/Center in Covington, GA
• Providers in Covington, GA by specialty
• Health Service Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.