PHYLIS WILLIS (NPI# 1497138911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497138911 |
| Entity Type | Individual |
| Full Name | PHYLIS WILLIS |
| Credential | FNP-C |
| Practice Address |
910 5th St. Suite A Cordele GA 31015-3254 |
| Mailing Address |
910 5th Street Suite A Cordele GA 31015-3254 |
| Practice Telephone | 2292762185 |
| Practice Fax Number | 2292762186 |
| Mailing Telephone | 2292762185 |
| Mailing Fax Number | 2292762186 |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN161240 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
910 5TH ST. SUITE A |
| City | CORDELE |
| State | GA |
| Zip Code | 31015-3254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618164 | Jeffrey Allen Wessel Jr. | Physical Therapist | 1107b Greer Street, Cordele, GA 31015 | 2020-08-03 |
| 1316502024 | Clifton Anthony Jordan | Specialist | 1106 East Ave Suite J, Cordele, GA 31015 | 2019-05-08 |
| 1336678440 | Robert Kenneth Lancaster | Dentist | 604 E 15th Avenue, Cordele, GA 31015 | 2017-06-12 |
| 1457602435 | Marvin Tolbert Mcafee IIi | Physician Assistant | 416 East 4th Ave, Suite B, Cordele, GA 31015 | 2012-10-01 |
| 1568719169 | Kimberly Bertelson | Physical Therapy Assistant | 1107 Greer Street, Suite B, Cordele, GA 31015 | 2012-08-14 |
| 1134474174 | R W Leitner Od LLC | Optometrist | 716-c 16th Ave East, Cordele, GA 31015 | 2012-07-16 |
| 1790048023 | Holly K Davis | Nurse Practitioner | 602 E 16th Ave Ste B, Cordele, GA 31015 | 2012-06-21 |
| 1508141482 | Beatrice Hurt Mckee | Nurse Practitioner | 216 Hospital Drive., Cordele, GA 31015 | 2011-10-11 |
| 1669784393 | Elisabeth R Waldrip | Dentist | 115 E 14th Avenue, Cordele, GA 31015 | 2010-07-10 |
| 1063656403 | Priscilla George Thomas | Surgery | 416 E 4th Ave # A, Cordele, GA 31015 | 2009-04-29 |
| Find all providers in zip 31015 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301701 | John Bridges | Nurse Practitioner | 170 Old Blackshear Rd, Cordele, GA 31015-9602 | 2020-09-17 |
| 1932748894 | Haley Ellis Pullen | Nurse Practitioner | 602 E 16th Ave # Ab, Cordele, GA 31015-1776 | 2019-12-24 |
| 1255975280 | Kenya Lavette Fields | Nurse Practitioner | 911 E 24th Ave, Cordele, GA 31015-2108 | 2019-11-02 |
| 1790261535 | Marjorie Christopher | Nurse Practitioner | 602 E 16th Ave Ste A&b, Cordele, GA 31015-1776 | 2018-07-16 |
| 1821537606 | Haley Strange Revell | Nurse Practitioner | 910 North 5th St, Cordele, GA 31015-3234 | 2017-02-14 |
| 1508141482 | Beatrice Hurt Mckee | Nurse Practitioner | 216 Hospital Drive., Cordele, GA 31015 | 2011-10-11 |
| 1053618991 | Danielle K Hedden | Nurse Practitioner | 804 E 16th Ave, Cordele, GA 31015-1514 | 2011-02-11 |
| 1174846216 | Mary Lynn Williams | Nurse Practitioner | 602 E 16th Ave, Suite B, Cordele, GA 31015-1776 | 2010-03-03 |
| 1558430579 | Martha Brown Raburn | Nurse Practitioner | 811 4th St N, Cordele, GA 31015 | 2006-11-06 |
| 1073125159 | Deanna Mathis Thompson | Nurse Practitioner | 902 N 7th St, Cordele, GA 31015-3234 | 2020-08-19 |
| Find all providers in CORDELE | ||||
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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.