MR. MELVIN JAMES WILLIS PA
NPI 1700828977
Physician Assistant - Medical in Johnson City, TN

Q: What is Melvin Willis's NPI number?

The NPI number for Melvin Willis is 1700828977. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Melvin Willis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Melvin Willis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 June 12, 2006

JAMES H QUILLEN/VA MEDICAL CENTER, CONER OF SIDNEY & LAMONT, JOHNSON CITY, TN 37684(423) 926-1171(423) 979-3574 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mr. Melvin James Willis Pa NPPES

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

MR. MELVIN JAMES WILLIS PA (NPI 1700828977) is an individual medical provider in Johnson City, Tennessee, licensed in Tennessee (TN 0250) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1700828977

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. MELVIN JAMES WILLISCredential: PA

Location AddressJAMES H QUILLEN/VA MEDICAL CENTER, CONER OF SIDNEY & LAMONTJohnson City, TN 37684

Mailing Address142 Dove DrJonesboro, TN 37659-4780 · (423) 926-1171 · Fax (423) 979-3574

Phone(423) 926-1171

Fax(423) 979-3574

Sole ProprietorNo

Enumeration DateJune 12, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1700828977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TN · TN 0250

JAMES H QUILLEN/VA MEDICAL CENTER, Johnson City, TN 37684

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Other Providers at the Same Location NPPES 2

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

MR. RICHARD A HENDRIX RPH

Pharmacist

JAMES H QUILLEN/VA MEDICAL CENTER, CORNER OF SIDNEY AND LAMONT
JOHNSON CITY, TN 37684

Washington County (423) 926-1171

MRS. MELINDA TAYLOR BLOSSER RPH

Pharmacist

JAMES H QUILLEN/VA MEDICAL CENTER, CORNER OF SIDNEY AND LAMONT
JOHNSON CITY, TN 37684

Washington County (423) 926-1171

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 Melvin Willis's NPI number?

The NPI number for Melvin Willis is 1700828977. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Melvin Willis located?

Melvin Willis practices at James H Quillen/Va Medical Center Coner Of Sidney & Lamont, Johnson City, TN 37684. The listed phone number is (423) 926-1171.

What is Melvin Willis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Melvin Willis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.