WAYNE S WILLIS MD LLC
NPI 1528039021
Family Medicine in Pensacola, FL

Active since February 01, 2006
3111 PEGGY BOND DR, PENSACOLA, FL 32504(850) 438-9755(850) 438-0699 Get Directions Write a Review

NPPES record last updated: February 5, 2013. 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 1528039021) is a healthcare organization registered as a family medicine in Pensacola, Florida and active in the NPI registry since February 2006. The organization lists Wayne S. Willis, President, as its authorized official.

NPPES Registry Identity

NPI1528039021
Entity TypeOrganization
Primary Taxonomy207Q00000X
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 OfficialWayne S. WillisPresident · (850) 438-9755
Enumeration DateFebruary 1, 2006
Last NPPES UpdateFebruary 5, 2013
NPI 1528039021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3111 PEGGY BOND DR, Pensacola, FL 32504

Other Identifiers 3

Medicare PINK9506FL
Medicaid274727800FL
Other98793FL · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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
Clinic/Center (Primary Care)
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 1528039021. It was assigned to this organization in the NPPES registry on February 1, 2006.

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 Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Wayne S Willis MD LLC was last updated on February 5, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.