Willie B Francis, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1661 Issued in GA

Practice address

4151 Memorial Dr
Suite 107E
Decatur, GA 30032-1504

Phone

(404) 292-8388

Fax

(404) 292-8238

NPI assigned

Jul 20, 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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Center for Behavioral Change PC

  • Clinical Psychologist
  • Decatur, GA
  • NPI 1861548190
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972523199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 MEMORIAL DR",
            "address_2": "SUITE 107E",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321504",
            "telephone_number": "404-292-8388",
            "fax_number": "404-292-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 MEMORIAL DR",
            "address_2": "SUITE 107E",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321504",
            "telephone_number": "404-292-8388",
            "fax_number": "404-292-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCIS",
        "first_name": "WILLIE",
        "middle_name": "B",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "1661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00380861E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Fox
• Lisa Fox, M.S, CCC-SLP
• Reece Fox
• Chasity Evans Fraley, APRN
• Ben Frame
• Michael Arthur Franco, P.T.
• Lauren Francois
• Benjamin Frandsen, RRT
• Frank a Critz,MD
• Cheryl Frank, RN

• Clinical Psychologist in Decatur, GA
• Providers in Decatur, GA by specialty
• Clinical Psychologist in Georgia

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.