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WILLOW WELLNESS CENTER, P.A.
NPI 1346346335
Internal Medicine in Tyler, TX

Active since September 16, 2006CLIA 45D0982256 · Waiver
820 E FRONT ST, TYLER, TX 75702(903) 596-0602(903) 596-0620 Get Directions Write a Review

NPPES record last updated: November 30, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willow Wellness Center, P.a. NPPES

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

WILLOW WELLNESS CENTER, P.A. (NPI 1346346335) is a healthcare organization registered as an internal medicine in Tyler, Texas and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through January 21, 2027 and lists Angela Nell Smith, President, as its authorized official.

NPPES Registry Identity

NPI1346346335
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWILLOW WELLNESS CENTER, P.A.
Location Address820 E FRONT STTyler, TX 75702-8326
Mailing Address820 E Front StTyler, TX 75702-8326 · (903) 596-0602 · Fax (903) 596-0620
Phone(903) 596-0602
Fax(903) 596-0620
Organization SubpartNo
Authorized OfficialAngela Nell SmithPresident · (903) 596-0602
Enumeration DateSeptember 16, 2006
Last NPPES UpdateNovember 30, 2011
✔ NPI 1346346335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
820 E FRONT ST, Tyler, TX 75702
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINH13098TX
Medicaid031016101TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0982256

Willow Wellness Center PA · Tyler, TX
Active · expires Jan 21, 2027
CLIA Number45D0982256
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorAngela N. Smith
Laboratory Phone(903) 596-0602
Laboratory LocationWillow Wellness Center PA820 E Front St, Tyler, TX 75702
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

HATTIE E HENDERSON M.D.
Family Medicine (Geriatric Medicine)
820 E FRONT ST
TYLER, TX 75702
Smith County (903) 596-0602
DR. JAISHREE RIVA ELLIS MD
Obstetrics & Gynecology
820 E FRONT ST
TYLER, TX 75702
Smith County (903) 343-1265

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 Willow Wellness Center, P.A.'s NPI number?

The NPI number for Willow Wellness Center, P.A. is 1346346335. It was assigned to this organization in the NPPES registry on September 16, 2006.

Where is Willow Wellness Center, P.A. located?

Willow Wellness Center, P.A. is located at 820 E Front St, Tyler, TX 75702. The listed phone number is (903) 596-0602.

What is Willow Wellness Center, P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Willow Wellness Center, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0982256) is associated with this NPI, valid through January 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Willow Wellness Center, P.A. accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Willow Wellness Center, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Willow Wellness Center, P.A. was last updated on November 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.