P Praxis·MD
● Active Type 1 · Individual

Charlesetta Willis, MHA, MS, RN

Counselor·Martinez, GA· NPI 1104575646 · Enumerated 2022 · 4 years on NPI
Willis is 1 of 24 counselor providers in Martinez and 1 of 5527 in Georgia.
NPI age
4 years
Enumerated 2022-03-22
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-10-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5527 active counselor providers in Georgia.

NPI age
4 years
≈ at median (5 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
1
In the 16% of peers with subspecialties

NPI lifetime · 2022 → 2026

2022-03Enumerated in NPPES
2022 2026

Where they practice

Practice location
4145 Columbia Rd
Martinez, GA 309075400
📞 7068697373
Mailing address
860 Willow Lk
Evans, GA 308098000
📞 7065243690

Specialties

  • Counselor Primary
    Definition to come...
    taxonomy 101YM0800X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    GA license #RN219487 taxonomy 163W00000X

Practice context

Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new counselor providers have been added in Martinez in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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