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MR. JERAMY C. WILLIS KCSA
NPI 1780867473
Physician Assistant - Surgical in Bowling Green, KY

Active since December 17, 2007
1945 SCOTTSVILLE RD, B2 PMB 397, BOWLING GREEN, KY 42104(270) 781-4828(270) 781-4828 Get Directions Write a Review

NPPES record last updated: December 17, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jeramy C. Willis Kcsa NPPES

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

MR. JERAMY C. WILLIS KCSA (NPI 1780867473) is an individual surgical provider in Bowling Green, Kentucky, licensed in Kentucky (SA164) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1780867473
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. JERAMY C. WILLISCredential: KCSA
Location Address1945 SCOTTSVILLE RD, B2 PMB 397Bowling Green, KY 42104-3376
Mailing Address1945 Scottsville Rd. B2 Pmb 397Bowling Green, KY 42104 · (270) 781-4828 · Fax (270) 781-4828
Phone(270) 781-4828
Fax(270) 781-4828
Sole ProprietorNo
Enumeration DateDecember 17, 2007
✔ NPI 1780867473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in KY · SA164
1945 SCOTTSVILLE RD, Bowling Green, KY 42104
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Other Providers at the Same Location NPPES 12

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

RACHAEL R MILLER P.T.
Physical Therapist
1945 SCOTTSVILLE RD
BOWLING GREEN, KY 42104
Warren County (270) 842-8824
JOHN S NAPIER CSA
Specialist/Technologist, Other (Surgical Assistant)
1945 SCOTTSVILLE RD
BOWLING GREEN, KY 42104
Warren County (270) 781-4828
FIRST CHOICE HOME MEDICAL LLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
1945 SCOTTSVILLE RD, SUITE A 3
BOWLING GREEN, KY 42104
Warren County (270) 393-9393
ORTHO SPORT & SPINE BOWLING GREEN
Clinic/Center
1945 SCOTTSVILLE RD
BOWLING GREEN, KY 42104
Warren County (678) 752-7246
STEPHEN HUNTSMAN P.T.
Physical Therapist
1945 SCOTTSVILLE RD
BOWLING GREEN, KY 42104
Warren County (270) 842-8824
MR. TIMOTHY WHEELER KCSA
Physician Assistant (Surgical)
1945 SCOTTSVILLE RD, B2 PMB 137
BOWLING GREEN, KY 42104
Warren County (270) 781-4828
MRS. MARY LINDA CAPUTO CSA
Physician Assistant (Surgical)
1945 SCOTTSVILLE RD, B2 PMB 137
BOWLING GREEN, KY 42104
Warren County (270) 782-0434
STACY KIRBY KCSA
Specialist/Technologist, Other (Surgical Assistant)
1945 SCOTTSVILLE RD, B2 PMB 397
BOWLING GREEN, KY 42104
Warren County (270) 781-4828

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 Jeramy Willis's NPI number?

The NPI number for Jeramy Willis is 1780867473. It was assigned to this individual provider in the NPPES registry on December 17, 2007.

Where is Jeramy Willis located?

Jeramy Willis practices at 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104. The listed phone number is (270) 781-4828.

What is Jeramy Willis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Jeramy Willis was last updated on December 17, 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.