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TERRI LYNN WILLIS D.M.D
NPI 1417168808
Dentist in Cedartown, GA

Active since May 25, 2007PECOS Enrolled
113 PLANTATION AVE, SUITE A, CEDARTOWN, GA 30125(770) 748-2622(770) 749-1976 Get Directions Write a Review

NPPES record last updated: October 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Terri Lynn Willis D.m.d NPPES

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

TERRI LYNN WILLIS D.M.D (NPI 1417168808) is an individual dentist in Cedartown, Georgia, licensed in Georgia (DN013531) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417168808
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameTERRI LYNN WILLISCredential: D.M.D
Location Address113 PLANTATION AVE, SUITE ACedartown, GA 30125
Mailing Address224 S College StCedartown, GA 30125-2936 · (770) 324-2459
Phone(770) 748-2622
Fax(770) 749-1976
Sole ProprietorYes
Enumeration DateMay 25, 2007
Last NPPES UpdateOctober 6, 2016
✔ NPI 1417168808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in GA · DN013531
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
113 PLANTATION AVE, Cedartown, GA 30125
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Terri Lynn Willis D.m.d 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30125 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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 4

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

BENJAMIN WADE ALVERSON DMD
Dentist
113 PLANTATION AVE
CEDARTOWN, GA 30125
Polk County (770) 748-7736
DR. GERALD DAVID PALATINI JR. D.D.S.
Dentist (General Practice)
113 PLANTATION AVE, SUITE A
CEDARTOWN, GA 30125
Polk County (770) 748-2622
EMALYN SAMALIO SAN MIGUEL
Dentist
113 PLANTATION AVE
CEDARTOWN, GA 30125
Polk County (770) 748-7736
STEPHANIE ANN OLSON DMD
Dentist (General Practice)
113 PLANTATION AVE
CEDARTOWN, GA 30125
Polk County (770) 748-7736

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 Terri Willis's NPI number?

The NPI number for Terri Willis is 1417168808. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Terri Willis located?

Terri Willis practices at 113 Plantation Ave Suite A, Cedartown, GA 30125. The listed phone number is (770) 748-2622.

What is Terri Willis's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Terri Willis enrolled in Medicare?

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

What insurance does Terri Willis accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Terri Willis 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 Terri Willis was last updated on October 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.