P Praxis·MD
● Active Type 1 · Individual

DR. Tom Vann Willis JR., M.D.

Surgery·Brunswick, GA· NPI 1851428056 · Enumerated 2007 · 19 years on NPI
Willis is 1 of 13 surgery providers in Brunswick and 1 of 1389 in Georgia.
NPI age
19 years
Enumerated 2007-02-27
Primary specialty
Surgery
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1389 active surgery providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
28% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-02Enumerated in NPPES
2007 2026

Where they practice

Practice location
F L T C 1131 Chapel Crossing Rd
Brunswick, GA 315240001
📞 9122805307fax 9122673196
Mailing address
114 Mews Cir
Saint Simons Island, GA 315225153
📞 9126383091

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    GA license #10695 taxonomy 208600000X

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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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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