EDIE WILLIS (PA-C) – Medical Physician Assistant, NPI 1356877328
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
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Provider Addresses for EDIE WILLIS (PA-C)
334, Smith Avenue, McLoughlin Heights, Thomasville, Thomas County, Georgia, 31792, United States
THOMASVILLE, GA 317925533
Phone: (855) 397-0197
Fax: (800) 272-6512
Type: Mailing
PO BOX 15238
SAVANNAH, GA 314161938
Phone: (912) 354-4813
Fax: (912) 650-5488
Type: Mailing
1520 SAN PABLO ST STE 1000
LOS ANGELES, CA 900335312
Phone: (323) 442-5100
Type: Location
PO BOX 31309
LOS ANGELES, CA 900310309
Phone: (323) 442-5100
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $1,932.
Total Amount is formed as General ($1,932) + Research ($0) + Ownership ($0) = $1,932.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($1,859).
Total Amount
$1,932
General + Research + Ownership
Payments
9
Total payment records
General Amount
$1,932
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-03-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20170619000387 | I | Physician Assistant | GA | TBD |
| I20220504001245 | I | Physician Assistant | SC | TBD |
| I20230317001819 | I | Physician Assistant | CA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 20 | 16 | $0 |
Insurance plans in this area (ZIP 31792)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | GA | |
| Physician Assistant | FL | |
| Nephrology, Critical Care (Intensivists) | GA | |
| N E P H R O L O G Y | GA | |
| N E P H R O L O G Y | GA | |
| Nurse Practitioner | GA | |
| N E P H R O L O G Y | SC | |
| N E P H R O L O G Y | GA | |
| Nurse Practitioner | GA | |
| N E P H R O L O G Y | GA |
Reviews
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