WILLIS WELLNESS GROUP (NPI# 1356905087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356905087 |
| Entity Type | Organization |
| Organization Name | WILLIS WELLNESS GROUP |
| Practice Address |
1501 Heritage Ln Florence SC 29505-3141 |
| Practice Telephone | 8436656777 |
| Practice Fax Number | 8436656677 |
| Mailing Telephone | 8436656777 |
| Mailing Fax Number | 8436656677 |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2019-04-29 |
| Authorized Official Name | DR. JOSEPH RAY WILLIS (OWNER/CHIROPRATOR) |
| Authorized Official Telephone | 8436656777 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
1501 HERITAGE LN |
| City | FLORENCE |
| State | SC |
| Zip Code | 29505-3141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366443582 | Richard D Heavner | Chiropractor | 1501 Heritage Ln, Florence, SC 29505-3141 | 2005-08-10 |
| 1962779769 | Willis Chiro Med of Florence LLC | Clinic/Center | 1501 Heritage Ln, Florence, SC 29505-3141 | 2011-11-22 |
| 1275765448 | Joseph Ray Willis | Chiropractor | 1501 Heritage Ln, Florence, SC 29505-3141 | 2009-08-20 |
| 1699971853 | Active Health Chiropractic Center, LLC | Chiropractor | 1501 Heritage Ln, Florence, SC 29505-3141 | 2007-06-25 |
| 1740268762 | Eads Chiropractic Wellness | Chiropractor | 1501 Heritage Ln, Florence, SC 29505-3141 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245745066 | Jessica Hayes | Counselor | 1414 West Evans Street, Florence, SC 29505 | 2017-12-04 |
| 1467989665 | Lelia Denise Mckay | Counselor | 181 E Evans Street, Florence, SC 29505 | 2017-05-18 |
| 1295187714 | Sarah Shaeffer | Community Health Worker | 3200 S. Irby St, South Florence Hgh School, Florence, SC 29505 | 2016-07-08 |
| 1548616097 | Lena Vaughn Bullock | Behavioral Analyst | 444 2nd Loop Rd, Florence, SC 29505 | 2016-05-13 |
| 1255700332 | Carmine J Gargano | Physical Therapist | 2360 Freedom Blvd Apt C8, Florence, SC 29505 | 2015-09-18 |
| 1417373440 | Megan Ann Roy | Occupational Therapist | 440 Second Loop Rd, Mcleod Pediatric Rehab, Florence, SC 29505 | 2014-03-14 |
| 1669807863 | Andrea Carrieri Thomas | Dentist | 1519 Heritage Lane, Florence, SC 29505 | 2013-09-06 |
| 1508203522 | Daniel Carl Skipper | Pathology | 805 Pamplico Hwy Ste B210, Florence, SC 29505 | 2013-05-31 |
| 1326482928 | Total Renal Care Inc | Clinic/Center | 1520 Flag Dr, Florence, SC 29505 | 2013-04-25 |
| 1346599743 | Haley Morgan Carter | Pharmacist | 513 Cricklewood Dr., Florence, SC 29505 | 2012-08-31 |
| Find all providers in zip 29505 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689214454 | Superior Healthcare Pllc | General Practice | 7560 Us Highway 42 Ste B, Florence, KY 41042-1908 | 2020-01-09 |
| 1952774838 | Allied Healthcare LLC | General Practice | 707 S Parker Dr, Florence, SC 29501-6062 | 2015-11-02 |
| 1013330216 | Singing River Healthcare, LLC | General Practice | 503 W College St, Florence, AL 35630-5311 | 2014-01-24 |
| 1376829135 | Ronald Arthur Backus | General Practice | 4185 W Lake Elwood Rd, Florence, WI 54121-9158 | 2011-10-25 |
| 1417991175 | Ednaliz Rodriguez | General Practice | 360 N Irby Street, Hopehealth, Florence, SC 29501 | 2006-06-15 |
| 1265031496 | Samantha Ellen Fullmer | General Practice | 1305 E Butte Ave, Florence, AZ 85132-9221 | 2020-10-19 |
| 1962847582 | Shakaria Deanna Johnson | General Practice | 145 E Cheves St, Florence, SC 29506-2526 | 2013-05-09 |
| 1285890426 | Todd Frazier | General Practice | 3015 W Palmetto St, Florence, SC 29501-5935 | 2008-08-06 |
| 1649486606 | Bobby Frank King | General Practice | 501 Circular Rd, Una Box 5009, Florence, AL 35632-0001 | 2007-05-15 |
| 1154494318 | Sexton Dental Clinic | General Practice | 377 W Palmetto St, Florence, SC 29501 | 2006-11-16 |
| Find all providers in FLORENCE | ||||
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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.