Willow Oak Center – Community/Behavioral Health Agency, NPI 1881131860

Willow Oak Center is a healthcare provider. based in Newnan, Georgia. specializing in Community/Behavioral Health Agency. The NPI Number for Willow Oak Center is 1881131860

Main info

Organization
Name
Willow Oak Center
NPI
1881131860
Phone
(770) 683-6946
Address
37 CALUMET PARKWAY
Authorized Official
MS. DIANE BOULAI CEO/ OWNER
Enumeration Date
27 January 2017
Last Update Date
18 March 2026
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness90
Years active:9State licenses:0Digital endpoints

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Provider Addresses for Willow Oak Center

  • 37, Calumet Parkway, Newnan, Coweta County, Georgia, 30263, United States

    BUILDING J, SUITE 101 & 102

    NEWNAN, GA 302636734

    Phone: (770) 683-6946

    Fax: (770) 683-6949

    Type: Location

  • 6944 HIGHWAY 85 STE F

    RIVERDALE, GA 302742960

    Phone: (770) 683-6946

    Fax: (770) 683-6949

    Type: Location

  • 361 CLIFFHAVEN CIR

    NEWNAN, GA 302636358

    Phone: (678) 477-3476

    Fax: (770) 683-6949

    Type: Mailing

  • 55 JEFFERSON PKWY # 55B

    NEWNAN, GA 302635813

    Phone: (770) 683-6946

    Fax: (770) 683-6949

    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: 2020-04-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-09-30 (256 days ago).

Enrollment records

1

Earliest due date

2025-09-30

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
O20200413002764OClinic/Group PracticeGA2025-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 30263)

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Reviews

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Frequently asked questions

What identifier follows Willow Oak Center across health systems?
The NPI 1881131860 uniquely identifies Willow Oak Center in U.S. healthcare data.
Should I treat Willow Oak Center as an active provider?
Patients and plans typically see Willow Oak Center as active in the national extract.
What services align with Willow Oak Center's listing?
Willow Oak Center's public classification highlights Community/Behavioral Health Agency. Clinical services aligned with this taxonomy classification.
Which community is linked to Willow Oak Center?
Willow Oak Center shows a connection to Newnan, Georgia in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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