YVANNAH MAE GARCIA WILLIS PA-C
NPI 1205302072
Physician Assistant in Columbia, SC

Q: What is Yvannah Willis's NPI number?

The NPI number for Yvannah Willis is 1205302072. It was assigned to this individual provider in the NPPES registry on October 19, 2018.

Q: What is Yvannah Willis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Yvannah Willis was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 October 19, 2018PECOS EnrolledAccepts Medicare Assignment

114 GATEWAY CORPORATE BLVD STE 420, COLUMBIA, SC 29203(803) 365-8650 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2025, Feb 5, 2025, Oct 19, 2021 and 2 more (5 updates tracked since 2018).

On this page

About Yvannah Mae Garcia Willis Pa-c NPPES

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

YVANNAH MAE GARCIA WILLIS PA-C (NPI 1205302072) is an individual physician assistant in Columbia, South Carolina, licensed in South Carolina (3304) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and maintains a secondary practice location in West Columbia.

NPPES Registry Identity

NPI1205302072

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameYVANNAH MAE GARCIA WILLISCredential: PA-C

Location Address114 GATEWAY CORPORATE BLVD STE 420Columbia, SC 29203-9785

Mailing AddressPo Box 935722Atlanta, GA 31193-5722 · (843) 792-6200

Phone(803) 365-8650

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 19, 2018

Last NPPES UpdateSeptember 16, 20255 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2025

✔ NPI 1205302072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in SC · 3304

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA3304 (SC)

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 3304 (SC)

114 GATEWAY CORPORATE BLVD STE 420, Columbia, SC 29203

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Secondary Practice Location 1

Location 1146 E Hospital Dr Ste 400West Columbia, SC 29169-4800 · Phone (803) 936-3300 · Fax (803) 936-7735

Other Identifiers 1

Medicaid3956PASC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, UnitedHealthcare.Insurance ›

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

Yvannah Mae Garcia Willis Pa-c 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 ID4587097258

PECOS Enrollment IDI20191211000132

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.

Hospital Affiliations CMS Care Compare

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

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420073

Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

Other Providers at the Same Location NPPES 6

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

DR. ARTHUR WATSON COOLER MD

Surgery