MS. BEVERLY ANN WILLIS NURSE PRACTITIONER
NPI 1023345410
Nurse Practitioner - Family in Albany, GA
About Ms. Beverly Ann Willis Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. BEVERLY ANN WILLIS NURSE PRACTITIONER (NPI 1023345410) is an individual family provider in Albany, Georgia, licensed in Georgia (RN141960) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Beverly Ann Willis Nurse Practitioner 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.
Medicare Billing Reassignments
2Medicare enrollment records show Beverly Willis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Albany, GA 31701
- Reassigned Medicare billing, Georgia enrollment
- 1,118 clinicians in this Medicare group
Albany, GA 31701
- Reassigned Medicare billing, Georgia enrollment
- 264 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Emory Decatur Hospital
Acute Care Hospitals · Decatur, GAEmory Hillandale Hospital
Acute Care Hospitals · Lithonia, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
ALBANY, GA 31701
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 Beverly Willis's NPI number?
The NPI number for Beverly Willis is 1023345410. It was assigned to this individual provider in the NPPES registry on November 6, 2009.
Where is Beverly Willis located?
Beverly Willis practices at 2000 Palmyra Rd, Albany, GA 31701. The listed phone number is (229) 434-2173.
What is Beverly Willis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Beverly Willis enrolled in Medicare?
Yes. Beverly 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.
Which organizations bill Medicare for Beverly Willis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Beverly Willis reassigns Medicare benefits to 2 organizations: Phoebe Physician Group, Inc (Albany, GA) and Phoebe Putney Memorial Hospital (Albany, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Beverly Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Beverly Willis accept?
Health plans from Alliant Health Plans, Inc. list Beverly Willis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Beverly Willis affiliated with any hospitals?
According to CMS data, Beverly Willis is affiliated with Emory Decatur Hospital and Emory Hillandale Hospital.
When was this NPI record last updated?
The NPPES record for Beverly Willis was last updated on November 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Ms. Beverly Ann Willis, NURSE PRACTITIONER · NPI 1023345410
Family physician in Albany, Georgia. Individual provider, active in the CMS NPPES registry since November 6, 2009.
## Identity
- **NPI:** 1023345410 (Entity type: Individual)
- **Enumerated:** November 6, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN141960 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2000 PALMYRA RD, Albany, GA 31701-1528
- **Phone:** (229) 434-2173 · **Fax:** (229) 434-2548
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Phoebe Physician Group, Inc (NPI 1487899464, Albany, GA); Phoebe Putney Memorial Hospital (NPI 1225072846, Albany, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** November 6, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1023345410) · Data from the CMS NPPES public registry.