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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EMILY DAVADA WILLIS
NPI 1558063156
Internal Medicine in Martin, KY

Active since March 20, 2023PECOS Enrolled
11087 MAIN ST, MARTIN, KY 41649(304) 424-4575(304) 424-4577 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emily Davada Willis NPPES

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

EMILY DAVADA WILLIS (NPI 1558063156) is an individual internal medicine provider in Martin, Kentucky, licensed in Kentucky (06428) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558063156
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameEMILY DAVADA WILLIS
Location Address11087 MAIN STMartin, KY 41649-7999
Mailing Address11087 Main StMartin, KY 41649-7999 · (304) 424-4575 · Fax (304) 424-4577
Phone(304) 424-4575
Fax(304) 424-4577
Sole ProprietorNo
Enumeration DateMarch 20, 2023
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1558063156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 06428
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.
11087 MAIN ST, Martin, KY 41649
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Davada Willis 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 41649 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
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 6

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

PAUL JAMES ROSS PA-C
Physician Assistant
11087 MAIN ST
MARTIN, KY 41649
Floyd County (606) 285-3690
JASON CONLEY PAC
Physician Assistant
11087 MAIN ST
MARTIN, KY 41649
Floyd County (606) 285-0681
ASHLEIGH KENELLA HAYTON PA-C
Physician Assistant
11087 MAIN ST
MARTIN, KY 41649
Floyd County (606) 285-3851
ARH MARY BRECKINRIDGE HEALTH SERVICES, INC.
Clinic/Center (Rural Health)
11087 MAIN ST
MARTIN, KY 41649
Floyd County (606) 285-3690
BAILEY MARIAH HOSKINS PHARMD
Pharmacist (Ambulatory Care)
11087 MAIN ST
MARTIN, KY 41649
Floyd County (606) 285-3690
EILEEN MARIE KUMMANT MD
Family Medicine
11087 MAIN ST
MARTIN, KY 41649
Floyd County (606) 285-3690

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 Emily Willis's NPI number?

The NPI number for Emily Willis is 1558063156. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Emily Willis located?

Emily Willis practices at 11087 Main St, Martin, KY 41649. The listed phone number is (304) 424-4575.

What is Emily Willis's specialty?

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

Is Emily Willis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Emily Willis was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.