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JUSTIN KYLE WILLIS D.C.
NPI 1639501588
Chiropractor in Kennesaw, GA

Active since August 02, 2013Accepts Medicare Assignment
2829 DALLAS ST NW, KENNESAW, GA 30144(770) 429-0707(770) 425-9020 Get Directions Write a Review

NPPES record last updated: August 2, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Justin Kyle Willis D.c. NPPES

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

JUSTIN KYLE WILLIS D.C. (NPI 1639501588) is an individual chiropractor in Kennesaw, Georgia, licensed in Georgia (9165) and active in the NPI registry since August 2013. He is a graduate of Sherman College Of Straight Chiropractic (2013).

NPPES Registry Identity

NPI1639501588
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJUSTIN KYLE WILLISCredential: D.C.
Location Address2829 DALLAS ST NWKennesaw, GA 30144-2705
Mailing Address2829 Dallas St NwKennesaw, GA 30144-2705 · (770) 429-0707 · Fax (770) 425-9020
Phone(770) 429-0707
Fax(770) 425-9020
Sole ProprietorNo
Medical School CMSSherman College Of Straight ChiropracticGraduated 2013
Enumeration DateAugust 2, 2013
✔ NPI 1639501588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · 9165
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2829 DALLAS ST NW, Kennesaw, GA 30144
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin Kyle Willis D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325280472
PECOS Enrollment IDI20130820000498

Medicare Billing Reassignment

Medicare enrollment records show Justin Willis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Willis Family Chiropractic, LLC
Same address
Chiropractor
2829 DALLAS ST NW
Kennesaw, GA 30144
  • Reassigned Medicare billing, Georgia enrollment
NPI 1811442213 (770) 429-0707

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

DR. WILLIAM N WILLIS D.C.
Chiropractor
2829 DALLAS ST NW
KENNESAW, GA 30144
Cobb County (770) 429-7070
DR. NANCY KAY WILLIS D.C.
Chiropractor
2829 DALLAS ST NW
KENNESAW, GA 30144
Cobb County (770) 429-0707
MARIAN ROBERTS ANDREWS LCSW
Social Worker (Clinical)
2829 DALLAS ST NW
KENNESAW, GA 30144
Cobb County (770) 842-9885
WILLIS FAMILY CHIROPRACTIC, LLC
Chiropractor
2829 DALLAS ST NW
KENNESAW, GA 30144
Cobb County (770) 429-0707

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 Justin Willis's NPI number?

The NPI number for Justin Willis is 1639501588. It was assigned to this individual provider in the NPPES registry on August 2, 2013.

Where is Justin Willis located?

Justin Willis practices at 2829 Dallas St NW, Kennesaw, GA 30144. The listed phone number is (770) 429-0707.

What is Justin Willis's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Justin Willis enrolled in Medicare?

Yes. Justin Willis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Justin Willis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Willis reassigns Medicare benefits to Willis Family Chiropractic, LLC (Kennesaw, 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 Justin Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Willis accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Justin 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 Justin Willis was last updated on August 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.