DR. LEE WILLIS (D.C.) – Chiropractor, NPI 1053498964

DR. LEE WILLIS (D.C.) is a healthcare provider. based in Wytheville, Virginia. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 0104001278 (VA). The NPI Number for DR. LEE WILLIS (D.C.) is 1053498964

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. LEE WILLIS (D.C.)
NPI
1053498964
Phone
(276) 228-3883
Address
570 E MAIN ST
Enumeration Date
1 November 2006
Last Update Date
2 April 2025

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
2766132729
Graduation Year
1992 (34 years ago)
PAC ID
5991964454
Professional Enrollment ID
I20120302000473
Address ID
VA245232209BE1508XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

801 CHIROPRACTIC in VA

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Provider Addresses for DR. LEE WILLIS (D.C.)

  • East Main Street, Wytheville, Wythe County, Virginia, 24382, United States

    WYTHEVILLE, VA 243822033

    Phone: (276) 228-3883

    Fax: (276) 223-1357

    Type: Mailing

  • 1239 OAKWOOD ST

    BEDFORD, VA 245231611

    Phone: (276) 613-1296

    Type: Mailing

  • 1508 LONGWOOD AVE

    BEDFORD, VA 245232209

    Phone: (540) 583-5749

    Type: Location

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: 2012-03-02

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
I20120302000473IChiropracticVATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24382)

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Reviews

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Frequently asked questions

How is DR. LEE WILLIS (D.C.) identified in CMS data?
CMS-hosted NPPES data lists DR. LEE WILLIS (D.C.) with NPI 1053498964.
Does the file indicate DR. LEE WILLIS (D.C.) is practicing under active NPI?
Directory data currently reports DR. LEE WILLIS (D.C.) as active.
What is DR. LEE WILLIS (D.C.)'s specialty?
The listing groups DR. LEE WILLIS (D.C.) with Chiropractor. Clinical services aligned with this taxonomy classification.
Where is DR. LEE WILLIS (D.C.) based?
DR. LEE WILLIS (D.C.) is tied to Wytheville, Virginia in the data we show; additional addresses may exist on the full record.
Why does DR. LEE WILLIS (D.C.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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