Gregg A Willis (NPI# 1336171511, PAC ID# 6305897166) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1336171511 |
| PAC ID by PECOS | 6305897166 |
| Professional Enrollment ID | I20170322001241 |
| Full Name | Gregg A Willis |
| Organization Legal Name | CHATTANOOGA WOMENS SPECIALISTS PC |
| Address |
2009 Old Lafayette Rd Fort Oglethorpe GA 30742-3510 |
| Phone Number | 7068615950 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 0042207250 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440156 | PARKRIDGE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 929 Spring Creek Rd, Chattanooga, TN 37412-3964 | 7068615950 | CHATTANOOGA WOMENS SPECIALISTS PC |
| 2009 Old Lafayette Rd, Fort Oglethorpe, GA 30742-3510 | 7068615950 | CHATTANOOGA WOMENS SPECIALISTS PC |
| Organization Legal Name | CHATTANOOGA WOMENS SPECIALISTS PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard James Bowers | Obstetrics/gynecology | Chattanooga Womens Specialists PC | 929 Spring Creek Rd, Chattanooga, TN 37412-3964 |
| Samantha Blair Donald Cater | Obstetrics/gynecology | Chattanooga Womens Specialists PC | 929 Spring Creek Rd, Chattanooga, TN 37412-3964 |
| Thomas D Weldon | Obstetrics/gynecology | Chattanooga Womens Specialists PC | 2009 Old Lafayette Rd, Ft Oglethorpe, GA 30742-3510 |
| Street Address |
2009 OLD LAFAYETTE RD |
| City | FORT OGLETHORPE |
| State | GA |
| Zip | 30742-3510 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas D Weldon | Obstetrics/gynecology | Chattanooga Womens Specialists PC | 2009 Old Lafayette Rd, Ft Oglethorpe, GA 30742-3510 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda J Davenport | Nurse Practitioner | Fort Oglethorpe Emergency Physicians Group LLC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Jennifer Burke Johnson | Emergency Medicine | Fort Oglethorpe Emergency Physicians Group LLC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Jesse Miller Epps Iii | Anesthesiology | American Anesthesiology of Tennessee PC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Derek L Duran | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Tennessee PC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Kenneth M Watson | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Tennessee PC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Jeremy D Johnston | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Tennessee PC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Michael C Preston | Emergency Medicine | Fort Oglethorpe Emergency Physicians Group LLC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Shannon Heath Trowell | Internal Medicine | Fort Oglethorpe Emergency Physicians Group LLC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Timothy A Clark | Emergency Medicine | Fort Oglethorpe Emergency Physicians Group LLC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Joseph Foy Rivers | Anesthesiology | American Anesthesiology of Tennessee PC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Find all physicians in zip 30742 | |||
| City | FORT OGLETHORPE |
| Zip Code | 30742 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | FORT OGLETHORPE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Gregg A 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.