ROBERT K. WILLIS M.ED
NPI 1750931200
Counselor - School in Ellenwood, GA

Active since September 17, 2019
2818 APPALOOSA RUN, ELLENWOOD, GA 30294(404) 630-5301 Get Directions Write a Review

NPPES record last updated: September 17, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Robert K. Willis M.ed NPPES

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

ROBERT K. WILLIS M.ED (NPI 1750931200) is an individual school provider in Ellenwood, Georgia, licensed in Georgia (1366328) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1750931200
Entity TypeIndividualMale
Primary Taxonomy101YS0200X
Provider Legal NameROBERT K. WILLISCredential: M.ED
Location Address2818 APPALOOSA RUNEllenwood, GA 30294-3968
Mailing Address2818 Appaloosa RunEllenwood, GA 30294-3968 · (404) 630-5301
Sole ProprietorYes
Enumeration DateSeptember 17, 2019
NPI 1750931200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
License Licensed in GA · 1366328
2818 APPALOOSA RUN, Ellenwood, GA 30294

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 Robert Willis's NPI number?

The NPI number for Robert Willis is 1750931200. It was assigned to this individual provider in the NPPES registry on September 17, 2019.

Where is Robert Willis located?

Robert Willis practices at 2818 Appaloosa Run, Ellenwood, GA 30294. The listed phone number is (404) 630-5301.

What is Robert Willis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Robert Willis was last updated on September 17, 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.