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TERELL WILLARD
NPI 1225893993
General Practice in Groton, CT

Active since February 20, 2024

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Terell Willard NPPES

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

TERELL WILLARD (NPI 1225893993) is an individual general practice provider in Groton, Connecticut, licensed in Virginia (0101286727) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1225893993
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameTERELL WILLARD
Location Address1 WAHOO AVEGroton, CT 06349-2324
Mailing Address1 Wahoo AveGroton, CT 06349-2324
Phone(860) 694-3743
Sole ProprietorNo
Enumeration DateFebruary 20, 2024
Last NPPES UpdateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1225893993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0101286727
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
1 WAHOO AVE, Groton, CT 06349
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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.

WILLIAM DON MURPHY III IDC
Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-4123
SARAH ELISABETH HIRSCHKOWITZ
Registered Nurse (Case Management)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-4026
COREY ROBIN WILFON
Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-4123
MATTHEW DAVID COOPER APRN
Nurse Practitioner (Family)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-4123
DR. MATTHEW BRADEN BURNS MILLER DDS
Dentist (Periodontics)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-3094
KORIN MESSINA RN
Registered Nurse (Case Management)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-2388
DR. JULIA JACOBS M.D.
Psychiatry & Neurology (Psychiatry)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-4496
DR. JIMMY NAZIH SULIMAN DDS
Dentist (General Practice)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-3738

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 Terell Willard's NPI number?

The NPI number for Terell Willard is 1225893993. It was assigned to this individual provider in the NPPES registry on February 20, 2024.

Where is Terell Willard located?

Terell Willard practices at 1 Wahoo Ave, Groton, CT 06349. The listed phone number is (860) 694-3743.

What is Terell Willard's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Terell Willard was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.