DR. WILLIAM N WILLIS (D.C.) – Chiropractor, NPI 1376572990

DR. WILLIAM N WILLIS (D.C.) is a healthcare provider. based in Kennesaw, Georgia. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 1154 (GA). The NPI Number for DR. WILLIAM N WILLIS (D.C.) is 1376572990

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIAM N WILLIS (D.C.)
NPI
1376572990
Phone
(770) 429-7070
Address
2829 DALLAS ST NW
Enumeration Date
3 July 2006
Last Update Date
7 February 2011

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE - WEST
Secondary Phone
7704259020
Graduation Year
1977 (49 years ago)
PAC ID
8325113699
Group Practice PAC ID
8729153150
Professional Enrollment ID
I20080821000022
Address ID
GA301442722KE2829XNWDR300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,115 CHIROPRACTIC in GA

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Provider Addresses for DR. WILLIAM N WILLIS (D.C.)

  • 2829, Dallas Street, Kennesaw, Cobb County, Georgia, 30144, United States

    KENNESAW, GA 301442704

    Phone: (770) 429-7070

    Fax: (770) 425-9020

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-08-21

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080821000022IChiropracticGATBD

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
98941Chiropractic manipulative treatment, 3-4 spinal regions1,080143$0
View full utilization report →

Insurance plans in this area (ZIP 30144)

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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: 8729153150View full group profile
NameSpecialtyState
C H I R O P R A C T I CGA

Reviews

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Frequently asked questions

Does DR. WILLIAM N WILLIS (D.C.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. WILLIAM N WILLIS (D.C.) uses 1376572990.
Does CMS list DR. WILLIAM N WILLIS (D.C.) as active?
Yes — DR. WILLIAM N WILLIS (D.C.) is active in the NPI listing used on this page.
What is DR. WILLIAM N WILLIS (D.C.)'s specialty?
The listing groups DR. WILLIAM N WILLIS (D.C.) with Chiropractor. Clinical services aligned with this taxonomy classification.
What area does DR. WILLIAM N WILLIS (D.C.) serve?
DR. WILLIAM N WILLIS (D.C.)'s listing highlights Kennesaw, Georgia; more addresses can appear in NPPES.
Why does DR. WILLIAM N WILLIS (D.C.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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