Brandy C Willis (NPI# 1457556268, PAC ID# 1658404215) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1457556268 |
| PAC ID by PECOS | 1658404215 |
| Professional Enrollment ID | I20100803000473 |
| Full Name | Brandy C Willis |
| Organization Legal Name | TALLAHASSEE PRIMARY CARE ASSOCIATES PA |
| Address |
2646 Centennial Pl Suite A Tallahassee FL 32308-0573 |
| Phone Number | 8504026210 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4789581901 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100135 | TALLAHASSEE MEMORIAL HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 1803 Miccosukee Commons Dr, Tallahassee, FL 32308-7403 | 8502970114 | TALLAHASSEE PRIMARY CARE ASSOCIATES PA |
| 2646 Centennial Pl, Suite A, Tallahassee, FL 32308-0573 | 8504026210 | TALLAHASSEE PRIMARY CARE ASSOCIATES PA |
| Organization Legal Name | TALLAHASSEE PRIMARY CARE ASSOCIATES PA |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine Crooms | Nurse Practitioner | Tallahassee Primary Care Associates Pa | 1843 Fiddler Ct, Tallahassee, FL 32308-4450 |
| Kristen H Ganas | Nurse Practitioner | Tallahassee Primary Care Associates Pa | 2915 Kerry Forest Pkwy, Suite 103, Tallahassee, FL 32309-7803 |
| John Christopher Turner | Family Medicine | Tallahassee Primary Care Associates Pa | 2420 E Plaza Dr, Tallahassee, FL 32308-5353 |
| Ginny C Manalo | Nurse Practitioner | Tallahassee Primary Care Associates Pa | 1961 Buford Blvd, Tallahassee, FL 32308-4466 |
| Patricia A Hogan | Family Medicine | Tallahassee Primary Care Associates Pa | 2850 Capital Medical Blvd, Suite A, Tallahassee, FL 32308-4406 |
| Chris A Vansickle | Family Medicine | Tallahassee Primary Care Associates Pa | 1636 N Plaza Dr, Tallahassee, FL 32308-5323 |
| Frank Gredler | Cardiovascular Disease (cardiology) | Tallahassee Primary Care Associates Pa | 1803 Miccosukee Commons Dr, Tallahassee, FL 32308-7403 |
| Madhuri Sankuratri | Infectious Disease | Tallahassee Primary Care Associates Pa | 1841 Fiddler Ct, Tallahassee, FL 32308-4450 |
| Hanna M Ling | Nurse Practitioner | Tallahassee Primary Care Associates Pa | 1803 Miccosukee Commons Dr, Tallahassee, FL 32308-7403 |
| Jasmine D Hall | Clinical Social Worker | Tallahassee Primary Care Associates Pa | 1803 Miccosukee Commons Dr, Tallahassee, FL 32308-7403 |
| Street Address |
2646 CENTENNIAL PL SUITE A |
| City | TALLAHASSEE |
| State | FL |
| Zip | 32308-0573 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terreze M Gamble | Family Medicine | Tallahassee Primary Care Associates Pa | 2646 Centennial Pl, Suite A, Tallahassee, FL 32308-0573 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin M Carlquist | Pathology | Ketchum Wood and Burgert Chartered Drs Ketchum Wood and Burgert | Magnolia Dr and Miccosukee Rd, Tallahassee, FL 32308 |
| Vatsal Patel | Pathology | Ketchum Wood and Burgert Chartered Drs Ketchum Wood and Burgert | Magnolia Dr and Miccosukee Rd, Tallahassee, FL 32308 |
| Eileen Venable | Psychiatry | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Jeffrey T Ferraro | Neuropsychiatry | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Donna S Kitch | Psychologist, Clinical | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Jessica D Shrum | Nurse Practitioner | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Jonathan E Johnson | Physician Assistant | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Jennifer Beaupied | Clinical Social Worker | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Cynthia S Whitaker | Clinical Social Worker | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Kelly E Sunshine | Nurse Practitioner | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Find all physicians in zip 32308 | |||
| City | TALLAHASSEE |
| Zip Code | 32308 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | TALLAHASSEE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Brandy C Willis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.