WILLIE EARL SALLIS (PA) – Physician Assistant, NPI 1689606709

Physician Assistant

WILLIE EARL SALLIS (PA) is a healthcare provider. based in Fort rucker, Alabama. specializing in Physician Assistant. They hold the professional credentials PA. The NPI Number for WILLIE EARL SALLIS (PA) is 1689606709

Main info

Male

Sole Proprietor

Name

WILLIE EARL SALLIS (PA)

NPI

1689606709

Phone

(334) 255-7349

Address

301 ANDREWS AVE

Enumeration Date

7 July 2006

Last Update Date

5 November 2025

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience53

Completeness85

Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for WILLIE EARL SALLIS (PA)

Lyster Army Health Clinic, 301, Andrews Avenue, Dale County, Alabama, 36362, United States
LYSTER ARMY HEALTH CLINIC BLDING
FORT RUCKER, AL 363620701
Phone: (334) 255-7349
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

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Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-12-09

PECOS data refreshed: 2026-05-27

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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 36362)

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Reviews

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Frequently asked questions

What identifier follows WILLIE EARL SALLIS (PA) across health systems?

The NPI 1689606709 uniquely identifies WILLIE EARL SALLIS (PA) in U.S. healthcare data.

Should I treat WILLIE EARL SALLIS (PA) as an active provider?

Patients and plans typically see WILLIE EARL SALLIS (PA) as active in the national extract.

What does the directory say WILLIE EARL SALLIS (PA) does?

Insurance directories may phrase it differently, but here WILLIE EARL SALLIS (PA) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.

What city is tied to WILLIE EARL SALLIS (PA)?

The directory associates WILLIE EARL SALLIS (PA) with Fort Rucker, Alabama. Check all listed addresses for suites or satellite offices.

Why is information missing for WILLIE EARL SALLIS (PA)?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.