NPI age
5 years
Enumerated 2021-03-10
● Active
Type 1 · Individual
Ikeyshana Willis
Willis is 1 of 6 health service (clinic/center) providers in Duluth and 1 of 345 in Georgia.
Primary specialty
Health Service (Clinic/Center)
Licensed in
NU
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-03-10
Source: CMS NPPES provider record
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 345 active health service (clinic/center) providers in Georgia.
NPI age
5 years
↓ 2 yr below median (7 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties
NPI lifetime · 2021 → 2021
2021-03Enumerated in NPPES
2021
2021
Where they practice
Practice location
17213 Sugarloaf Reserve Dr
Duluth, GA 300975209
Mailing address
17213 Sugarloaf Reserve Dr
Duluth, GA 300975209
Specialties
-
Clinic/Center PrimaryCMS NPPES uses NUCC taxonomy code 261QH0100X for provider records classified as Health Service within Clinic/Center. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered, current...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.