MARIA WILLIS FNP-BC
NPI 1669030052
Nurse Practitioner - Family in Atlanta, GA

Q: What is Maria Willis's NPI number?

The NPI number for Maria Willis is 1669030052. It was assigned to this individual provider in the NPPES registry on May 31, 2019.

Q: What is Maria Willis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Maria Willis was last updated on March 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 31, 2019PECOS EnrolledAccepts Medicare Assignment

2429 MARTIN LUTHER KING JR DR SW, ATLANTA, GA 30311(404) 691-9580 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 3, 2023, Jun 1, 2021, May 11, 2020 and 2 more (5 updates tracked since 2019).

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About Maria Willis Fnp-bc NPPES

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

MARIA WILLIS FNP-BC (NPI 1669030052) is an individual family provider in Atlanta, Georgia, licensed in Georgia (RN195391) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1669030052

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARIA WILLISCredential: FNP-BC

Location Address2429 MARTIN LUTHER KING JR DR SWAtlanta, GA 30311-1713

Mailing Address2429 Martin Luther King Jr Dr SwAtlanta, GA 30311-1713 · (404) 691-9580

Phone(404) 691-9580

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMay 31, 2019

Last NPPES UpdateMarch 3, 20235 updates tracked since enumeration

NPPES CertifiedMarch 3, 2023

✔ NPI 1669030052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN195391

Also ListedNurse PractitionerTaxonomy 363L00000X · License RN195391 (GA)

2429 MARTIN LUTHER KING JR DR SW, Atlanta, GA 30311

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maria Willis Fnp-bc 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 ID6901135276

PECOS Enrollment IDI20190911002819

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110079

Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County

Emergency services Birthing friendly

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

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

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 13

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

MRS. SASHANA GRIFFIN APRN, FNP-C

Nurse Practitioner (Family)