JUSTIN WILLINGHAM – Physician Assistant, NPI 1184001224

JUSTIN WILLINGHAM is a healthcare provider. based in Lawrenceville, Georgia. specializing in PHYSICIAN ASSISTANT. The NPI Number for JUSTIN WILLINGHAM is 1184001224

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN WILLINGHAM
NPI
1184001224
Phone
Not provided
Address
631 PROFESSIONAL DR
Enumeration Date
28 April 2015
Last Update Date
8 March 2021

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6783123294
Graduation Year
2014 (12 years ago)
PAC ID
3678882537
Group Practice PAC ID
7012328263
Professional Enrollment ID
I20151016000999
Address ID
GA300467694LA1000XBLVD400

Contacts

Secure Messaging
justin.willingham.p2@direct.gmg.nextgenshare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:11State licenses:0Other namesUpdated within 12 months

4,431 PHYSICIAN ASSISTANT in GA

Provider Addresses for JUSTIN WILLINGHAM

  • 631 PROFESSIONAL DR

    STE 360

    LAWRENCEVILLE, GA 300463370

    Phone:

    Type: Mailing

  • 1346 CLIFTON RD NE

    ATLANTA, GA 303221059

    Phone: (404) 712-7100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $111.

Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Nevro Corp. ($35).

Total Amount

$111

General + Research + Ownership

Payments

5

Total payment records

General Amount

$111

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-10-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151016000999IPhysician AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4040$0
99284Emergency department visit with moderate level of medical decision making1717$0
99285Emergency department visit with high level of medical decision making1717$0
View full utilization report →

Insurance plans in this area (ZIP 30046)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012328263View full group profile
NameSpecialtyState
Physician AssistantGA
N E U R O S U R G E R YGA
Physician AssistantGA
Physician AssistantMA
Physician AssistantGA
Physician AssistantGA
Physician AssistantGA
Physician AssistantGA

Reviews

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Frequently asked questions

Is JUSTIN WILLINGHAM listed with a National Provider Identifier?
Yes — JUSTIN WILLINGHAM has NPI 1184001224 on file in the registry.
Is JUSTIN WILLINGHAM shown as active in public data?
Registry records indicate JUSTIN WILLINGHAM maintains an active NPI.
What kind of doctor is JUSTIN WILLINGHAM?
JUSTIN WILLINGHAM is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is JUSTIN WILLINGHAM located near Lawrenceville?
JUSTIN WILLINGHAM currently maps to Lawrenceville, Georgia in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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