MRS. KANDI LAUREN WILLIS PA
NPI 1013336205
Physician Assistant in Toccoa, GA

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment
79.77/100
CMS Quality Rating

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 19, 2023, Jul 28, 2021 (2 updates tracked since 2021).

About Mrs. Kandi Lauren Willis Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KANDI LAUREN WILLIS PA (NPI 1013336205) is an individual physician assistant in Toccoa, Georgia, licensed in Georgia (7204) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013336205
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KANDI LAUREN WILLISCredential: PA
Location Address58 BIG A RDToccoa, GA 30577-6017
Mailing AddressPo Box 746216Atlanta, GA 30374-6216 · (770) 219-8420
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 15, 2014
Last NPPES UpdateJanuary 19, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2023
NPI 1013336205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 7204
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
58 BIG A RD, Toccoa, GA 30577

Secondary Practice Locations 2

Location 1485 Highway 29 NAthens, GA 30601-5583 · Phone (706) 353-9300
Location 21199 Prince AveAthens, GA 30606-2797 · Phone (706) 475-7000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kandi Lauren Willis Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769609692
PECOS Enrollment IDI20140815002010
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
500 services49 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
212 services45 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
192 services162 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
126 services65 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
118 services105 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
82 services77 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30577 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.05
Promoting Interoperability100
Improvement Activities40
Cost50.53

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
58 BIG A RD
TOCCOA, GA 30577
Urology
58 BIG A RD
TOCCOA, GA 30577
Pharmacist (Ambulatory Care)
58 BIG A RD
TOCCOA, GA 30577
Nurse Practitioner (Family)
58 BIG A RD
TOCCOA, GA 30577
Nurse Practitioner (Family)
58 BIG A RD
TOCCOA, GA 30577
Physician Assistant
58 BIG A RD
TOCCOA, GA 30577
Nurse Practitioner (Family)
58 BIG A RD
TOCCOA, GA 30577
Internal Medicine
58 BIG A RD
TOCCOA, GA 30577

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kandi Willis's NPI number?

The NPI number for Kandi Willis is 1013336205. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Kandi Willis located?

Kandi Willis practices at 58 Big A Rd, Toccoa, GA 30577. The listed phone number is (706) 827-2607.

What is Kandi Willis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kandi Willis enrolled in Medicare?

Yes. Kandi Willis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kandi Willis affiliated with any hospitals?

According to CMS data, Kandi Willis is affiliated with Northeast Georgia Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Kandi Willis was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.