Jeffrey T Willis (NPI# 1639100340, PAC ID# 5890689400) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1639100340 |
| PAC ID by PECOS | 5890689400 |
| Professional Enrollment ID | I20040212000579 |
| Full Name | Jeffrey T Willis |
| Organization Legal Name | SURGERY CLINIC OF PHILADELPHIA |
| Address |
1003 Holland Ave Suite 101 Philadelphia MS 39350-2180 |
| Phone Number | 6016631234 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 3577667005 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250043 | NESHOBA COUNTY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1001 Holland Ave, Philadelphia, MS 39350-2161 | 6016631269 | NESHOBA PHYSICIAN BILLING SERVICE |
| 1003 Holland Ave, Suite 101, Philadelphia, MS 39350-2180 | 6016631234 | SURGERY CLINIC OF PHILADELPHIA |
| Organization Legal Name | SURGERY CLINIC OF PHILADELPHIA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew P Dabbs | General Surgery | Surgery Clinic of Philadelphia | 1003 Holland Ave, Suite 101, Philadelphia, MS 39350-2180 |
| Street Address |
1003 HOLLAND AVE SUITE 101 |
| City | PHILADELPHIA |
| State | MS |
| Zip | 39350-2180 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew P Dabbs | General Surgery | Surgery Clinic of Philadelphia | 1003 Holland Ave, Suite 101, Philadelphia, MS 39350-2180 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer W Phillips | Nurse Practitioner | Neshoba County General Hospital | 1002 Saint Francis Dr, Philadelphia, MS 39350-2030 |
| Tina S Boyles | Nurse Practitioner | Neshoba County General Hospital | 1002 Saint Francis Dr, Philadelphia, MS 39350-2030 |
| Paula S Clearman | Nurse Practitioner | Neshoba County General Hospital | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Elizabeth A Stokes | Nurse Practitioner | Neshoba County General Hospital | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Donald G Guild | Family Medicine | Neshoba Physician Billing Service | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Hailey Elizabeth Thompson | Emergency Medicine | Neshoba County General Hospital | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Pamela Stokes | Nurse Practitioner | Neshoba County General Hospital | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Dwight S Keady Jr Jr. | Internal Medicine | Neshoba Physician Billing Service | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Verena T Valley | Emergency Medicine | Neshoba County General Hospital | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Pamela Z Mccool | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Find all physicians in zip 39350 | |||
| City | PHILADELPHIA |
| Zip Code | 39350 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | PHILADELPHIA + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Jeffrey T 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.