MR. JULIUS M WILLIS SR. (NPI# 1457863201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457863201 |
| Entity Type | Individual |
| Full Name | MR. JULIUS M WILLIS SR. |
| Practice Address |
707 Angier Ave Ne Atlanta GA 30308-2925 |
| Mailing Address |
3711 Benjamin E Mays Dr Sw Atlanta GA 30331-8600 |
| Practice Telephone | 4042131898 |
| Mailing Telephone | 4042131898 |
| Mailing Fax Number | 8663844420 |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | DRIVERS LICENSE | 037225000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659586485 | Julius A. Willis Jr. | Dentist | 1226 Jackson Ave, Pascagoula, MS 39567-4348 | 2007-05-14 |
| Street Address |
707 ANGIER AVE NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30308-2925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285165 | Grace Mckinnon Cutchin | Speech-Language Pathologist | 550 Peachtree St. Ne, 9th Floor, Suite 4400, Atlanta, GA 30308 | 2020-08-10 |
| 1063033942 | Life University | Chiropractor | 1 Baltimore P1. Nw, Suite 100, Atlanta, GA 30308 | 2020-05-01 |
| 1184254591 | Jordan Cohen | Specialist | 1075 Peachtree Rd, Suite 300, Atlanta, GA 30308 | 2020-01-24 |
| 1104463819 | Gary Sydney Koech IIi | Registered Nurse | Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, 550 Peachtree Street, N.e., Atlanta, GA 30308 | 2019-12-02 |
| 1639728207 | Shannon Oliver Sullivan | Counselor | 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 | 2019-09-06 |
| 1477110187 | Ariel Alibey | Preventive Medicine | 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 | 2019-05-29 |
| 1972075497 | Laura Mcrae | Nurse Practitioner | Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-21 |
| 1265902134 | Kyle Brooks Kraft | Nurse Practitioner | 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-04 |
| 1396211025 | Vita Judkins | Pharmacist | 240 Renaissance Pkway Ne, Unit 116, Atlanta, GA 30308 | 2018-10-20 |
| 1407345911 | Caitlin Cundiff | Anesthesiology | 550 Peachtree St Ne Ste 3245b, Atlanta, GA 30308 | 2018-05-09 |
| Find all providers in zip 30308 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420571 | Antonio Jones | Contractor | 700 Martin Luther King Jr Dr Sw Apt 206, Atlanta, GA 30314-4143 | 2020-09-02 |
| 1528609682 | Aereon Cade | Contractor | 2529 Wolf Den Ln, Atlanta, GA 30349-8767 | 2019-09-30 |
| 1063062743 | Kanecia Monay Harpe | Contractor | 1015 Camilla St Sw, Atlanta, GA 30314-3132 | 2019-09-16 |
| 1063061125 | Daton Williams | Contractor | 3010 Campbellton Rd Sw, Atlanta, GA 30311-5442 | 2019-09-10 |
| 1972013779 | Felicia Amanda Heard | Contractor | 331 Darkwater Ct Sw, Atlanta, GA 30331-9472 | 2017-10-05 |
| 1700304268 | Tyrone Pipkin | Contractor | 415 Kendrick Terrace Sw, Atlanta, GA 30331 | 2017-09-05 |
| 1629595640 | Shayla Bouie | Contractor | 5420 Riverdale Rd Apt D17, Atlanta, GA 30349 | 2017-08-30 |
| 1194250647 | Kimberly Sanders | Contractor | 803 Magnolia Way Nw Apt 1413, Atlanta, GA 30314-5001 | 2017-04-21 |
| 1669903845 | Shelton Robinson | Contractor | 250 Georgia Ave, Atlanta, GA 30312 | 2017-03-21 |
| 1306205562 | Ronald Snow | Contractor | 800 Peachtree St Ne Apt 1310, Atlanta, GA 30308-6027 | 2016-02-16 |
| Find all providers in ATLANTA | ||||
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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.