1. Home
  2. Directory
  3. Georgia
  4. Canton
  5. Nurse Practitioner
  6. NPI Profile

ALYSSA L.M. WILLIS CPNP-PC
NPI 1568030112
Nurse Practitioner - Pediatrics in Canton, GA

Active since June 10, 2021
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115(770) 224-1000 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 29, 2026, Feb 6, 2023, Jun 10, 2021 (3 updates tracked since 2021).

About Alyssa L.m. Willis Cpnp-pc NPPES

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

ALYSSA L.M. WILLIS CPNP-PC (NPI 1568030112) is an individual pediatrics provider in Canton, Georgia, licensed in Georgia (RN224983) and active in the NPI registry since June 2021. She maintains a secondary practice location in Cumming.

NPPES Registry Identity

NPI1568030112
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameALYSSA L.M. WILLISCredential: CPNP-PC
Location Address450 NORTHSIDE CHEROKEE BLVDCanton, GA 30115-8015
Mailing Address1654 Fair Oak WayMableton, GA 30126-5754 · (228) 238-1211
Phone(770) 224-1000
Sole ProprietorYes
Enumeration DateJune 10, 2021
Last NPPES UpdateJanuary 29, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1568030112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in GA · RN224983
450 NORTHSIDE CHEROKEE BLVD, Canton, GA 30115
Open in Google Maps ↗

Secondary Practice Location 1

Location 11200 Northside Forsyth DrCumming, GA 30041-7659 · Phone (770) 844-3200

Other Providers at the Same Location NPPES 20

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

ERICA ADDISON AA-C
Anesthesiologist Assistant
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Cherokee County (256) 710-5535
STACY ANN CARTMELL
Internal Medicine (Interventional Cardiology)
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Cherokee County (770) 224-1000
ANNA O DYER
Registered Nurse (Critical Care Medicine)
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Cherokee County (770) 224-1000
SARAH TURNER PEELE RD
Dietitian, Registered
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Cherokee County (770) 224-1000
DR. CHRISTOPHER CHANNING MORRISON PHARMD
Pharmacist
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Cherokee County (770) 224-1000
AARON ROBERT MILLAGE M.D.
Pediatrics (Neonatal-Perinatal Medicine)
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Cherokee County (770) 720-5100
DRAKE CHRISTIAN DEHOFF MD
Hospitalist
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Cherokee County (770) 224-1000
DOMINIK KISSING M.D.
Obstetrics & Gynecology
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Cherokee County (770) 224-1000

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 Alyssa Willis's NPI number?

The NPI number for Alyssa Willis is 1568030112. It was assigned to this individual provider in the NPPES registry on June 10, 2021.

Where is Alyssa Willis located?

Alyssa Willis practices at 450 Northside Cherokee Blvd, Canton, GA 30115. The listed phone number is (770) 224-1000.

What is Alyssa Willis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Alyssa Willis was last updated on January 29, 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.