Breanna Taina Willeford

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

2024-02208 Issued in NC

Practice address

11415 Golf Links Dr Ste 100
Charlotte, NC 28277-8228

Phone

(704) 831-4300

Fax

(704) 831-4391

NPI assigned

Apr 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Physical Medicine and Rehabilitation

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Spine Center PAGroup PAC ID 0446398911, 12 clinicians

Atrium Health Neurospine Network LLCGroup PAC ID 1052800588, 121 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.93 of 100Reported as group

Quality

93.97

Improvement activities

40

Cost

77.81

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Carolina Spine Center PA

  • Physical Medicine & Rehabilitation Physician
  • Rockingham, NC
  • NPI 1992938823

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Atrium Health Neurospine Network LLC

  • Neurological Surgery Physician
  • Charlotte, NC
  • NPI 1033007695
  Medicare reassignment Care Compare group
• Carolina Spine Center PA

  • Physical Medicine & Rehabilitation Physician
  • Cary, NC
  • NPI 1396271508
  NPD

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1962965566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11415 GOLF LINKS DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778228",
            "telephone_number": "704-831-4300",
            "fax_number": "704-831-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11415 GOLF LINKS DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778228",
            "telephone_number": "704-831-4300",
            "fax_number": "704-831-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEFORD",
        "first_name": "BREANNA",
        "middle_name": "TAINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NC",
            "license": "2024-02208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody R Wilkinson, FNP
• Willane a. Wylie, O.D. & Associates, P.a.
• Brianna Alexa Willard
• Jillian C Willard
• Queen Willard
• Gail Susan Willen, LPC
• Robin Jones Willer
• Ashton Willett
• Monique Willett, MS, NCC, LPC
• Stuart Edward Willett, PA

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.