MRS. KAYLA CHILDRESS WILLIS
NPI 1073022737
Pediatrics in Jackson, MS

Q: What is Kayla Willis's NPI number?

The NPI number for Kayla Willis is 1073022737. It was assigned to this individual provider in the NPPES registry on September 26, 2017.

Q: What is Kayla Willis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kayla Willis was last updated on September 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 26, 2017PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 984-2001 Get Directions Write a Review

NPPES record last updated: September 26, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Kayla Childress Willis NPPES

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

MRS. KAYLA CHILDRESS WILLIS (NPI 1073022737) is an individual pediatrics provider in Jackson, Mississippi, licensed in Mississippi (902339) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073022737

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMRS. KAYLA CHILDRESS WILLIS

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address249 Fieldstone LnMadison, MS 39110-5051 · (601) 618-9824

Phone(601) 984-2001

Sole ProprietorNo

Enumeration DateSeptember 26, 2017

✔ NPI 1073022737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MS · 902339

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2500 N STATE ST, Jackson, MS 39216

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kayla Childress Willis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)