P Praxis·MD
● Active Type 1 · Individual

Alyssa L.m. Willis, CPNP-PC

Nurse Practitioner·Canton, GA· NPI 1568030112 · Enumerated 2021 · 4 years on NPI
Willis is 1 of 6 nurse practitioner providers in Canton and 1 of 929 in Georgia.
NPI age
4 years
Enumerated 2021-06-10
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-01-29
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 929 active nurse practitioner providers in Georgia.

NPI age
4 years
↓ 6 yr below median (10 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-06Enumerated in NPPES
2021 2026

Where they practice

Practice location
450 Northside Cherokee Blvd
Canton, GA 301158015
📞 7702241000
Mailing address
1654 Fair Oak Way
Mableton, GA 301265754
📞 2282381211

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1200 Northside Forsyth Dr
Cumming, GA 300417659
📞 7708443200

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN224983 taxonomy 363LP0200X

Practice context

Part of a multi-provider practice. 128 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new nurse practitioner providers have been added in Canton 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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