DR. WILLIS HARTNETT HAYMAKER DC
NPI 1669900171
Chiropractor in Pensacola, FL

Q: What is Willis Haymaker's NPI number?

The NPI number for Willis Haymaker is 1669900171. It was assigned to this individual provider in the NPPES registry on May 28, 2017.

Q: What is Willis Haymaker's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Willis Haymaker was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 28, 2017

2122 W NINE MILE RD, PENSACOLA, FL 32534(850) 473-5555(850) 473-5505 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 11, 2021, May 28, 2017 (3 updates tracked since 2017).

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About Dr. Willis Hartnett Haymaker Dc NPPES

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

DR. WILLIS HARTNETT HAYMAKER DC (NPI 1669900171) is an individual chiropractor in Pensacola, Florida, licensed in Florida (CH12186) and active in the NPI registry since May 2017. He maintains a secondary practice location in Pace and is a graduate of Other (2017).

NPPES Registry Identity

NPI1669900171

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. WILLIS HARTNETT HAYMAKERCredential: DC

Location Address2122 W NINE MILE RDPensacola, FL 32534-9464

Mailing Address2122 W Nine Mile RdPensacola, FL 32534-9464 · (850) 473-5555 · Fax (850) 473-5505

Phone(850) 473-5555

Fax(850) 473-5505

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 28, 2017

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

NPPES CertifiedMarch 11, 2021

✔ NPI 1669900171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in FL · CH12186

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.

2122 W NINE MILE RD, Pensacola, FL 32534

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Secondary Practice Location 1

Location 14650 Woodbine RdPace, FL 32571-8717 · Phone (850) 473-5555 ext. 2 · Fax (850) 995-5713

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. Willis Hartnett Haymaker Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517236292

PECOS Enrollment IDI20230124001559

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

79 services14 patients

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.

HEALTHSOURCE OF NORTHWEST FLORIDA LLC

Chiropractor