NPI age
2 years
Enumerated 2023-11-27
● Active
Type 1 · Individual
Miecha Y Willis
Willis is 1 of 1 technician, pathology providers in Fayetteville and 1 of 48 in Georgia.
Primary specialty
Technician, Pathology
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2023-11-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 48 active technician, pathology providers in Georgia.
NPI age
2 years
≈ at median (3 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties
NPI lifetime · 2023 → 2026
2023-11Enumerated in NPPES
2023
2026
Where they practice
Practice location
1487 Highway 92 N
Fayetteville, GA 302143323
Mailing address
1415 Highway 85 N # 310-178
Fayetteville, GA 302147738
Specialties
-
Technician, Pathology PrimaryAn individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- 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.