WILLIS CHIROPRACTIC CENTER LLC
NPI 1790971240
Chiropractor in Kennesaw, GA
About Willis Chiropractic Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIS CHIROPRACTIC CENTER LLC (NPI 1790971240) is a healthcare organization registered as a chiropractor in Kennesaw, Georgia and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through February 13, 2027 and lists William Norris Willis, Chiropractor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Willis Chiropractic Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Willis Chiropractic Center LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D2276671
Willis Chiropractic Center · Kennesaw, GAFrequently 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 Willis Chiropractic Center LLC's NPI number?
The NPI number for Willis Chiropractic Center LLC is 1790971240. It was assigned to this organization in the NPPES registry on September 19, 2007.
Where is Willis Chiropractic Center LLC located?
Willis Chiropractic Center LLC is located at 2829 Dallas St, Kennesaw, GA 30144. The listed phone number is (770) 429-0707.
What is Willis Chiropractic Center LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Willis Chiropractic Center LLC enrolled in Medicare?
Yes. Willis Chiropractic Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Willis Chiropractic Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Willis Chiropractic Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Willis Chiropractic Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2276671) is associated with this NPI, valid through February 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Willis Chiropractic Center LLC accept?
Health plans from Alliant Health Plans, Inc. list Willis Chiropractic Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Willis Chiropractic Center LLC was last updated on August 20, 2008. 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.
# Willis Chiropractic Center Llc · NPI 1790971240
Chiropractor organization in Kennesaw, Georgia. Organization record, active in the CMS NPPES registry since September 19, 2007.
## Identity
- **NPI:** 1790971240 (Entity type: Organization)
- **Enumerated:** September 19, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** William Willis, CHIROPRACTOR
## Practice location
- **Address:** 2829 DALLAS ST, Kennesaw, GA 30144-2722
- **Phone:** (770) 429-0707
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2008
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790971240) · Data from the CMS NPPES public registry.