EMILY WILLIS (FNP) – Nurse Practitioner, NPI 1891460499

EMILY WILLIS (FNP) is a healthcare provider. based in Cataula, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN246395 (GA). The NPI Number for EMILY WILLIS (FNP) is 1891460499

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
EMILY WILLIS (FNP)
NPI
1891460499
Phone
Not provided
Address
100 GREEN RIDGE RD
Enumeration Date
16 August 2021
Last Update Date
16 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7064942100
Graduation Year
2020 (6 years ago)
PAC ID
7810385457
Group Practice PAC ID
6305100850
Professional Enrollment ID
I20211101000635
Address ID
GA319093578CO100XXCTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for EMILY WILLIS (FNP)

  • 100 GREEN RIDGE RD

    CATAULA, GA 318043228

    Phone:

    Type: Mailing

  • 100 FRIST CT

    COLUMBUS, GA 319093578

    Phone: (706) 494-2100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-04-10 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-10

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: 2021-11-01

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
I20211101000635INurse PractitionerGATBD

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
99285Emergency department visit with high level of medical decision making127126$0
99284Emergency department visit with moderate level of medical decision making9391$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only6558$0
99283Emergency department visit with low level of medical decision making2726$0
View full utilization report →

Insurance plans in this area (ZIP 31804)

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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: 6305100850View full group profile
NameSpecialtyState
Emergency Medicine, Internal MedicineNY
Emergency MedicineTX
Emergency MedicineCA
Nurse PractitionerGA
Emergency MedicineNJ
Emergency MedicineWA
Emergency MedicineGA
Nurse PractitionerGA
Nurse PractitionerAL
Nurse PractitionerGA

Reviews

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Frequently asked questions

What is the standard ID for EMILY WILLIS (FNP) in the U.S.?
In the U.S., EMILY WILLIS (FNP) is identified by NPI 1891460499.
Does the public listing show EMILY WILLIS (FNP) as active?
EMILY WILLIS (FNP)'s NPI record reflects an active status in NPPES.
Which specialty label fits EMILY WILLIS (FNP)?
NPPES ties EMILY WILLIS (FNP) to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to EMILY WILLIS (FNP)?
EMILY WILLIS (FNP) shows a connection to Cataula, Georgia in registry-derived data.
Who maintains EMILY WILLIS (FNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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