DR. JAMES TIMOTHY WILLIS (NPI# 1669536066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669536066 |
| Entity Type | Individual |
| Full Name | DR. JAMES TIMOTHY WILLIS |
| Credential | D.C. |
| Practice Address |
403 N Crawford St Thomasville GA 31792-5128 |
| Mailing Address |
Po Box 1111 Thomasville GA 31799-1111 |
| Practice Telephone | 2292265252 |
| Practice Fax Number | 2292264781 |
| Mailing Telephone | 2292265252 |
| Mailing Fax Number | 2292264781 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2245 | GA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00325201A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820881 | James Edwin Willis | Registered Nurse | 6057 W 41st Ave, Kennewick, WA 99338-0036 | 2020-04-21 |
| 1225308554 | James Robert Willis | Radiology | 56 Riverdale Dr, Covington, LA 70433-4523 | 2012-01-03 |
| 1104969807 | James Stewart Willis IIi | Counselor | 600 Jackson, Rappahannock Area Community Services Board, Fredericksburg, VA 22401 | 2007-02-14 |
| 1538153127 | James Allen Willis | Anesthesiology | 11971 Heritage Oak Pl, Auburn, CA 95603-2461 | 2005-09-09 |
| 1154322915 | James L. Willis | Family Medicine | 1741 David Walker Dr, Tavares, FL 32778-5745 | 2005-08-02 |
| 1720084064 | James B Willis | Dentist | 102 1st Ave E, Polson, MT 59860-2335 | 2005-06-22 |
| 1982186268 | James Willis | Specialist/Technologist | 133 N River St, City of Wilkes Barre, PA 18702-2404 | 2018-09-03 |
| 1528512696 | James L Willis Jr. | Registered Nurse | 505 S Main St Ste 249, Las Cruces, NM 88001-1243 | 2016-08-06 |
| 1821447699 | James Willis | Case Manager/Care Coordinator | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2016-06-12 |
| 1700286218 | James Leslie Willis | Emergency Medical Technician, Paramedic | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-03 |
| Street Address |
403 N CRAWFORD ST |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31792-5128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
| 1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
| 1194249425 | Bobbie Frazier | Contractor | 400 Cloverdale Dr, Thomasville, GA 31792 | 2017-07-28 |
| 1598132292 | Southern Scripts, LLC | Pharmacy | 501 Gordon Avenue, Thomasville, GA 31792 | 2015-08-28 |
| 1508248915 | Elizabeth Nicole Keen | Behavioral Analyst | 121 Covington Ave Apt 9, Thomasville, GA 31792 | 2015-06-22 |
| 1417341579 | Sheila L Stanley | Counselor | 301 Summercreek Cove, Thomasville, GA 31792 | 2015-03-26 |
| 1457749301 | Ashley Lamb | Speech-Language Pathologist | 1203 East Jackson Street, Thomasville, GA 31792 | 2014-12-30 |
| 1831403880 | Somnoquest | Durable Medical Equipment & Medical Supplies | 556 Hall Road, Thomasville, GA 31792 | 2010-08-02 |
| 1508000183 | Kashyap B Choksi | Internal Medicine | 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 | 2009-04-27 |
| 1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
| Find all providers in zip 31792 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053788612 | Lapointe Management Services | Chiropractor | 1102 Smith Ave Ste B, Thomasville, GA 31792-5700 | 2015-08-29 |
| 1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
| 1720270994 | Jerry Lee Schreiner | Chiropractor | 32620 Highway 43 Ste B, Thomasville, AL 36784-1655 | 2007-08-13 |
| 1487798583 | Todd A. Hanscom, Dc, LLC | Chiropractor | 16820 Us Highway 19 N, Thomasville, GA 31757-7833 | 2007-02-20 |
| 1306988720 | Kristan Wayne Jonasson | Chiropractor | 13 Cloniger Dr, Suite 5, Thomasville, NC 27360-5870 | 2007-02-13 |
| 1346305661 | Heather H. Waldrop | Chiropractor | 202 S Madison St, Thomasville, GA 31792-5479 | 2006-12-27 |
| 1558426866 | Donald G Vinson | Chiropractor | 1971 Ga Highway 122, Thomasville, GA 31757-2500 | 2006-12-27 |
| 1689735359 | William Abner Ball | Chiropractor | 17020 Us Highway 19 N, Thomasville, GA 31757-7852 | 2006-12-13 |
| 1457430795 | Jackson Clinic of Chiropractic Pllc | Chiropractor | 630 National Hwy, Thomasville, NC 27360-2601 | 2006-11-06 |
| 1730270869 | Eugene Francis Berbenick | Chiropractor | 327 E Jackson St Ste B, Thomasville, GA 31792-5175 | 2006-09-27 |
| Find all providers in THOMASVILLE | ||||
| City | THOMASVILLE |
| Zip Code | 31792 |
Please comment or provide details below to improve the information on DR. JAMES TIMOTHY WILLIS.
| 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.