DR. JASON PAUL WILLIS
NPI 1649166802
Student in an Organized Health Care Education/Training Program in Tallahassee, FL
About Dr. Jason Paul Willis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JASON PAUL WILLIS (NPI 1649166802) is an individual student in an organized health care education/training program in Tallahassee, Florida and active in the NPI registry since June 2025. The provider is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jason Paul Willis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
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 Jason Willis's NPI number?
The NPI number for Jason Willis is 1649166802. It was assigned to this individual provider in the NPPES registry on June 16, 2025.
Where is Jason Willis located?
Jason Willis practices at 1301 Hodges Dr, Tallahassee, FL 32308. The listed phone number is (850) 431-5430.
What is Jason Willis's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jason Willis enrolled in Medicare?
Yes. Jason Willis is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jason Willis was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Jason Paul Willis · NPI 1649166802
Student in an Organized Health Care Education/Training Program provider in Tallahassee, Florida. Individual provider, active in the CMS NPPES registry since June 16, 2025.
## Identity
- **NPI:** 1649166802 (Entity type: Individual)
- **Enumerated:** June 16, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1301 HODGES DR, Tallahassee, FL 32308-4614
- **Phone:** (850) 431-5430
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1649166802) · Data from the CMS NPPES public registry.