RALYN MCCLAY WILLIS (PA-C) – Medical Physician Assistant, NPI 1194419614
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
Provider Addresses for RALYN MCCLAY WILLIS (PA-C)
334 DEESE RD
BAINBRIDGE, GA 398177421
Phone: (229) 220-9807
Type: Mailing
1156 NASHVILLE PIKE
GALLATIN, TN 370663110
Phone: (615) 989-1088
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 129 Open Payments records for all available years, with a total value of $2,794.
Total Amount is formed as General ($2,794) + Research ($0) + Ownership ($0) = $2,794.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: ABBVIE INC. ($889).
Total Amount
$2,794
General + Research + Ownership
Payments
129
Total payment records
General Amount
$2,794
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $889 |
| Janssen Biotech, Inc. | $467 |
| Amgen Inc. | $317 |
| Lilly USA, LLC | $299 |
| Novartis Pharmaceuticals Corporation | $245 |
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: 2024-11-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241121003334 | I | Physician Assistant | TN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 39817)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TN | |
| Nurse Practitioner | TN | |
| Physician Assistant | MO | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Internal Medicine | TN | |
| Nurse Practitioner | TN | |
| Hospitalist, Internal Medicine | NY | |
| Nurse Practitioner | TN | |
| Internal Medicine | MI |
Reviews
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