KAMILI J WILLIS
NPI 1609841204
Dentist - General Practice in Atlanta, GA
About Kamili J Willis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAMILI J WILLIS (NPI 1609841204) is an individual general practice provider in Atlanta, Georgia, licensed in Georgia (DN013181) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kamili J Willis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kamili Willis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30314
- Reassigned Medicare billing, Georgia enrollment
- 64 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30311 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30311
ATLANTA, GA 30311
ATLANTA, GA 30311
ATLANTA, GA 30311
ATLANTA, GA 30311
ATLANTA, GA 30311
ATLANTA, GA 30311
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 Kamili Willis's NPI number?
The NPI number for Kamili Willis is 1609841204. It was assigned to this individual provider in the NPPES registry on February 17, 2006.
Where is Kamili Willis located?
Kamili Willis practices at 3050 Martin Luther King Jr Dr SW, Atlanta, GA 30311. The listed phone number is (404) 696-3163.
What is Kamili Willis's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Kamili Willis enrolled in Medicare?
Yes. Kamili Willis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kamili Willis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kamili Willis reassigns Medicare benefits to Saint Joseph's Mercy Care Services, Inc. (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kamili Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kamili Willis accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 14 other insurers list Kamili 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 Kamili Willis was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kamili J Willis · NPI 1609841204
General Practice provider in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since February 17, 2006.
## Identity
- **NPI:** 1609841204 (Entity type: Individual)
- **Enumerated:** February 17, 2006
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** DN013181 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3050 MARTIN LUTHER KING JR DR SW, Atlanta, GA 30311-1500
- **Phone:** (404) 696-3163
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Saint Joseph's Mercy Care Services, Inc. (NPI 1689921306, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 13, 2026
- **Other identifiers:** Medicaid 9180182 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1609841204) · Data from the CMS NPPES public registry.