WAYNE S. WILLIS MD LLC
NPI 1215349535
Clinic/Center - Primary Care in Pensacola, FL

Active since May 21, 2014
3111 PEGGY BOND DR, PENSACOLA, FL 32504(850) 438-9755(850) 438-0699 Get Directions Write a Review

NPPES record last updated: May 21, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wayne S. Willis Md Llc NPPES

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

WAYNE S. WILLIS MD LLC (NPI 1215349535) is a healthcare organization registered as a primary care in Pensacola, Florida and active in the NPI registry since May 2014. The organization lists Kayla Hughes, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1215349535
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWAYNE S. WILLIS MD LLC
Location Address3111 PEGGY BOND DRPensacola, FL 32504-5018
Mailing Address3111 Peggy Bond DrPensacola, FL 32504-5018 · (850) 438-9755 · Fax (850) 438-0699
Fax(850) 438-0699
Organization SubpartNo
Authorized OfficialKayla HughesOffice Manager · (850) 438-9755
Enumeration DateMay 21, 2014
NPI 1215349535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in FL · 25944
3111 PEGGY BOND DR, Pensacola, FL 32504

Other Identifiers 1

Medicare PIN17364XFL

Other Providers at the Same Location NPPES 3

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

Optometrist
3111 PEGGY BOND DR
PENSACOLA, FL 32504
Family Medicine
3111 PEGGY BOND DR
PENSACOLA, FL 32504
Family Medicine
3111 PEGGY BOND DR
PENSACOLA, FL 32504

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 Wayne S. Willis MD LLC's NPI number?

The NPI number for Wayne S. Willis MD LLC is 1215349535. It was assigned to this organization in the NPPES registry on May 21, 2014.

Where is Wayne S. Willis MD LLC located?

Wayne S. Willis MD LLC is located at 3111 Peggy Bond Dr, Pensacola, FL 32504. The listed phone number is (850) 438-9755.

What is Wayne S. Willis MD LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Wayne S. Willis MD LLC was last updated on May 21, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.