JAMISON WILLIS DO
NPI 1255271458
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since March 30, 2026PECOS Enrolled
1 MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27284(336) 716-6410 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 7, 2026, Mar 30, 2026 (2 updates tracked since 2026).

About Jamison Willis Do NPPES

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

JAMISON WILLIS DO (NPI 1255271458) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255271458
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAMISON WILLISCredential: DO
Location Address1 MEDICAL CENTER BOULEVARDWinston Salem, NC 27284
Mailing Address1 Medical Center BoulevardWinston Salem, NC 27284 · (336) 716-6410
Sole ProprietorYes
Enumeration DateMarch 30, 2026
Last NPPES UpdateApril 7, 20262 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1255271458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 MEDICAL CENTER BOULEVARD, Winston Salem, NC 27284

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jamison Willis Do 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.

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.

Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27284
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27284
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BOULEVARD
WINSTON-SALEM, NC 27284

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 Jamison Willis's NPI number?

The NPI number for Jamison Willis is 1255271458. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Where is Jamison Willis located?

Jamison Willis practices at 1 Medical Center Boulevard, Winston Salem, NC 27284. The listed phone number is (336) 716-6410.

What is Jamison Willis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jamison Willis enrolled in Medicare?

Yes. Jamison Willis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jamison Willis was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.