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MISS JADE NICOLE WILLIS PA-C
NPI 1669753745
Physician Assistant in Austell, GA

Active since September 02, 2011
3950 AUSTELL RD # 22, AUSTELL, GA 30106(770) 732-4022 Get Directions Write a Review

NPPES record last updated: November 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2019, Nov 6, 2018 (2 updates tracked since 2018).

About Miss Jade Nicole Willis Pa-c NPPES

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

MISS JADE NICOLE WILLIS PA-C (NPI 1669753745) is an individual physician assistant in Austell, Georgia, licensed in Georgia (6079) and active in the NPI registry since September 2011. She maintains a secondary practice location in Woodstock.

NPPES Registry Identity

NPI1669753745
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS JADE NICOLE WILLISCredential: PA-C
Location Address3950 AUSTELL RD # 22Austell, GA 30106-1121
Mailing Address200 Parkbrooke Dr, Suite 100Woodstock, GA 30189-6331
Phone(770) 732-4022
Sole ProprietorNo
Enumeration DateSeptember 2, 2011
Last NPPES UpdateNovember 6, 20192 updates tracked since enumeration
✔ NPI 1669753745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 6079
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3950 AUSTELL RD # 22, Austell, GA 30106
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Secondary Practice Location 1

Location 1200 Parkbrooke Dr, Suite 100Woodstock, GA 30189-6331 · Phone (770) 218-9002

Other Providers at the Same Location NPPES 5

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

KELLY SOLMS GARRISON M.D.
Pediatrics
3950 AUSTELL RD # 22
AUSTELL, GA 30106
Cobb County (770) 732-4022
DR. RAJNISH GUJRAL MD
Hospitalist
3950 AUSTELL RD # 22
AUSTELL, GA 30106
Cobb County (770) 732-4022
DR. VICTOR CYRUS SUKUMAR MD
Hospitalist
3950 AUSTELL RD # 22
AUSTELL, GA 30106
Cobb County (770) 732-4022
MS. SAIRA I ALIMOHAMED M.D.
Pediatrics
3950 AUSTELL RD # 22
AUSTELL, GA 30106
Cobb County (770) 732-4022
LEONARD L SACKS M.D.
Hospitalist
3950 AUSTELL RD # 22
AUSTELL, GA 30106
Cobb County (770) 732-4022

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 Jade Willis's NPI number?

The NPI number for Jade Willis is 1669753745. It was assigned to this individual provider in the NPPES registry on September 2, 2011.

Where is Jade Willis located?

Jade Willis practices at 3950 Austell Rd # 22, Austell, GA 30106. The listed phone number is (770) 732-4022.

What is Jade Willis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jade Willis was last updated on November 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.