James L Willis Do PA
James L Willis Do PA is a healthcare organization registered as Family Medicine Physician in Crestview, FL, holding Type 2 (organization) NPI 1710173638 since 2007. The authorized official on file is James Willis, Physician.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1710173638 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | James L Willis Do PA |
| Practice address | 524 W JAMES LEE BLVD, Crestview, FL, 32536 |
| Phone | 8506826143 |
| Fax | 8506820227 |
| Enumeration date | 2007-09-25 |
| Last updated in NPPES | 2007-09-25 |
Authorized official
| Name | James Willis |
|---|---|
| Title | Physician |
| Phone | 8506826143 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | OS8915 | FL |
Copy-ready billing details
Provider: James L Willis Do PA NPI: 1710173638 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 524 W JAMES LEE BLVD, Crestview, FL, 32536
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1598766180 | Michael Foley | Individual | Internal Medicine Physician | Crestview, FL |
| 1881363182 | North Okaloosa Clinic Corp | Organization | Family Medicine Physician | Crestview, FL |
Verify this record
Cross-check NPI 1710173638 against the authoritative CMS record: view James L Willis Do PA on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Where is James L Willis Do PA located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-09-25.