MS. BEVERLY ANN WILLIS (NPI# 1023345410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023345410 |
| Entity Type | Individual |
| Full Name | MS. BEVERLY ANN WILLIS |
| Credential | NURSE PRACTITIONER |
| Practice Address |
2000 Palmyra Rd Albany GA 31701-1528 |
| Practice Telephone | 2294342173 |
| Practice Fax Number | 2294342548 |
| Mailing Telephone | 2294342173 |
| Mailing Fax Number | 2294342548 |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2009-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN141960 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740603570 | Beverly Willis | Counselor | 9367 Two Notch Rd, Suite C2, Columbia, SC 29223-6442 | 2014-01-30 |
| Street Address |
2000 PALMYRA RD |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-1528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437140084 | Palmyra Professional Fees LLC | Nurse Anesthetist, Certified Registered | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2005-11-02 |
| 1083220230 | Julia Erdmier | Pharmacist | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2020-09-22 |
| 1114268547 | Albany Anesthesiologists, LLC | Anesthesiology | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2013-03-11 |
| 1558635003 | Palmyra Emergency Group LLC | Physician Assistant | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2012-03-01 |
| 1992009385 | Hospital Authority of Albany-dougherty County Georgia | Rehabilitation Unit | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2010-12-29 |
| 1043514557 | Hospital Authority of Albany-dougherty County Georgia | General Acute Care Hospital | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2010-12-28 |
| 1932435294 | Daniel B. Wright | Nurse Practitioner | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2009-10-21 |
| 1114252459 | Worth Lake Emergency Physicians | Emergency Medicine | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2009-10-05 |
| 1659606994 | Georgia Em-i Medical Services PC | Emergency Medicine | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2009-10-05 |
| 1891938056 | Sowega Anesthesia, LLC | Anesthesiology | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2009-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| Find all providers in zip 31701 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131583 | Mfon Bassey | Nurse Practitioner | 14 N Manning Blvd Apt B-25, Albany, NY 12206-1963 | 2020-10-09 |
| 1245837194 | Thomas W Mansfield | Nurse Practitioner | 425 W 3rd Ave Ste 410, Albany, GA 31701-1954 | 2020-10-05 |
| 1770199408 | April Mccluster | Nurse Practitioner | 2753 Bettys Dr, Albany, GA 31705-9510 | 2020-09-17 |
| 1457967317 | Cynthia Ann Chaney | Nurse Practitioner | 4546 Lacosta Dr, Albany, GA 31721-9433 | 2020-09-16 |
| 1083223135 | Jamila Cruz | Nurse Practitioner | 1758 Philema Rd S, Albany, GA 31701-4781 | 2020-07-24 |
| 1083239313 | Danajoy Melissa Vincent | Nurse Practitioner | 416 Partridge Dr, Albany, GA 31707-3038 | 2020-06-12 |
| 1033744602 | Rodesia Ashanta Woodson | Nurse Practitioner | 2504 Devon Dr, Albany, GA 31721-2128 | 2020-03-04 |
| 1972156057 | Kristen Lynn Cook | Nurse Practitioner | 2601 Stuart Ave Ste 100, Albany, GA 31707-1664 | 2019-07-18 |
| 1255992046 | Jennifer Lieberman | Nurse Practitioner | 1365 Washington Ave Ste 100, Albany, NY 12206-1098 | 2019-06-24 |
| 1053976993 | Amanda Bylsma | Nurse Practitioner | 5 Palisades Dr Ste 200, Albany, NY 12205-6433 | 2019-05-07 |
| Find all providers in ALBANY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.