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W A WILLIS MD PA
NPI 1952662900
Psychiatry & Neurology - Psychiatry in Fayetteville, NC

Active since June 06, 2012
2850 VILLAGE DR, SUITE 103, FAYETTEVILLE, NC 28304(910) 223-9801(910) 223-9819 Get Directions Write a Review

NPPES record last updated: June 6, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About W A Willis Md Pa NPPES

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

W A WILLIS MD PA (NPI 1952662900) is a healthcare organization registered as a psychiatry in Fayetteville, North Carolina and active in the NPI registry since June 2012. The organization lists Phyllis L Carter, Office Adminstrator, as its authorized official.

NPPES Registry Identity

NPI1952662900
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameW A WILLIS MD PA
Location Address2850 VILLAGE DR, SUITE 103Fayetteville, NC 28304-3869
Mailing AddressPo Box 42005Fayetteville, NC 28309-2005 · (910) 223-9801 · Fax (910) 223-9819
Phone(910) 223-9801
Fax(910) 223-9819
Organization SubpartNo
Authorized OfficialPhyllis L CarterOffice Adminstrator · (910) 391-4588
Enumeration DateJune 6, 2012
✔ NPI 1952662900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NC · 22449
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2850 VILLAGE DR, Fayetteville, NC 28304
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Other Identifiers 3

Medicaid8988133NC
Medicare PIN202042ENC
Medicare UPINC89005NC

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 3

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

DR. WILLIAM ALLEN WILLIS JR. MD
Psychiatry & Neurology (Psychiatry)
2850 VILLAGE DR, SUITE 103
FAYETTEVILLE, NC 28304
Cumberland County (910) 223-9801
KRISTINA M OSTBY APRN, FNP-C
Nurse Practitioner (Family)
2850 VILLAGE DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-1793
MARTIN H WEINRAUCH M.D.
Specialist
2850 VILLAGE DR, SUITE 104
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-4687

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 W A Willis MD PA's NPI number?

The NPI number for W A Willis MD PA is 1952662900. It was assigned to this organization in the NPPES registry on June 6, 2012.

Where is W A Willis MD PA located?

W A Willis MD PA is located at 2850 Village Dr Suite 103, Fayetteville, NC 28304. The listed phone number is (910) 223-9801.

What is W A Willis MD PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for W A Willis MD PA was last updated on June 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.