Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KAMILI J WILLIS
NPI 1609841204
Dentist - General Practice in Atlanta, GA

Active since February 17, 2006PECOS Enrolled
3050 MARTIN LUTHER KING JR DR SW, ATLANTA, GA 30311(404) 696-3163 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1609841204
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameKAMILI J WILLIS
Location Address3050 MARTIN LUTHER KING JR DR SWAtlanta, GA 30311-1500
Mailing Address415 N Grand AvePueblo, CO 81003-3111 · (719) 546-3333 · Fax (719) 546-3334
Sole ProprietorNo
Enumeration DateFebruary 17, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1609841204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in GA · DN013181
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3050 MARTIN LUTHER KING JR DR SW, Atlanta, GA 30311

Other Identifiers 1

Medicaid9180182GA

Accepted 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)

Kamili J 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 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.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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 12

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

Dentist (General Practice)
3050 MARTIN LUTHER KING JR DR SW, SUITE A
ATLANTA, GA 30311
Dentist (General Practice)
3050 MARTIN LUTHER KING JR DR SW, SUITE A
ATLANTA, GA 30311
Chiropractor
3050 MARTIN LUTHER KING JR DR SW, STE J-4
ATLANTA, GA 30311
Chiropractor (Rehabilitation)
3050 MARTIN LUTHER KING JR DR SW, SUITE J-4
ATLANTA, GA 30311
Dentist (General Practice)
3050 MARTIN LUTHER KING JR DR SW
ATLANTA, GA 30311
Chiropractor
3050 MARTIN LUTHER KING JR DR SW, SUITE J-4
ATLANTA, GA 30311
Pharmacy (Community/Retail Pharmacy)
3050 MARTIN LUTHER KING JR DR SW
ATLANTA, GA 30311
Dentist (General Practice)
3050 MARTIN LUTHER KING JR DR SW
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.

What insurance does Kamili Willis accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 12 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 with the weekly NPPES data releases published by CMS.