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JAMES L WILLIS DO PA
NPI 1710173638
Family Medicine in Crestview, FL

Active since September 25, 2007
524 W JAMES LEE BLVD, CRESTVIEW, FL 32536(850) 682-6143(850) 682-0227 Get Directions Write a Review

NPPES record last updated: September 25, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James L Willis Do Pa NPPES

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

JAMES L WILLIS DO PA (NPI 1710173638) is a healthcare organization registered as a family medicine in Crestview, Florida and active in the NPI registry since September 2007. The organization lists James L Willis, Physician, as its authorized official.

NPPES Registry Identity

NPI1710173638
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJAMES L WILLIS DO PA
Location Address524 W JAMES LEE BLVDCrestview, FL 32536-5129
Mailing Address524 W James Lee BlvdCrestview, FL 32536-5129 · (850) 682-6143 · Fax (850) 682-0227
Phone(850) 682-6143
Fax(850) 682-0227
Organization SubpartNo
Authorized OfficialJames L WillisPhysician · (850) 682-6143
Enumeration DateSeptember 25, 2007
✔ NPI 1710173638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS8915
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
524 W JAMES LEE BLVD, Crestview, FL 32536
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Other Identifiers 2

Medicare PINK6316FL
Medicare UPINH30396FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MICHAEL GILLIAN FOLEY M.D.
Internal Medicine
524 W JAMES LEE BLVD
CRESTVIEW, FL 32536
Okaloosa County (850) 682-6143
NORTH OKALOOSA CLINIC CORP
Family Medicine
524 W JAMES LEE BLVD
CRESTVIEW, FL 32536
Okaloosa County (850) 398-8725

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 James L Willis Do PA's NPI number?

The NPI number for James L Willis Do PA is 1710173638. It was assigned to this organization in the NPPES registry on September 25, 2007.

Where is James L Willis Do PA located?

James L Willis Do PA is located at 524 W James Lee Blvd, Crestview, FL 32536. The listed phone number is (850) 682-6143.

What is James L Willis Do PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for James L Willis Do PA was last updated on September 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.