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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Cedric R Willis, PA-C

Physician Assistant in Shreveport, LA · enumerated 2010.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1801196589

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Registry record

Entity type Individual (Type 1)
Name Cedric R Willis
Credential PA-C
Sex Male
Practice address 8001 Youree Dr Ste 540, Shreveport, LA, 71115
Phone (318) 631-9121
Fax (318) 631-9126
Enumeration date Oct 27, 2010
Last updated in NPPES Aug 12, 2022

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA.200392 (LA) Primary

Other identifiers

Identifier Type State Issuer
PA.200392 Other LA STATE LICENSE
2128680 Medicaid LA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1801196589 active?
Yes, as of the latest NPPES snapshot, NPI 1801196589 is active (record last updated 2022-08-12).
How do I verify Cedric Willis's NPI record?
Cross-check NPI 1801196589 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-08-12.