Stephanie Willis, is a
Health Educator based in Buford, Georgia. Stephanie Willis is licensed to practice in NU (license number ) and her current practice location is
78 E Main St Ste C, Buford, Georgia. She can be reached at her office (for appointments etc.) via phone at
(678) 357-3161.
NPI number for Stephanie Willis is 1871240002 and her current mailing address is 969 Mill Bend Dr, Lawrenceville, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871240002.
Healthcare Provider's Profile
| Full Name | Stephanie Willis |
|---|
| Gender | Female |
|---|
| Speciality | Health Educator |
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| Location | 78 E Main St Ste C, Buford, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1871240002
- Provider Enumeration Date: 03/08/2022
- Last Update Date: 03/03/2026
Medical Identifiers
Medical identifiers for Stephanie Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871240002 | NPI | - | NPPES |
| NONE | Other | GA | NONE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP1600X | Counselor - Pastoral | 744042 (Georgia) | Secondary |
| 174H00000X | Health Educator | (NU) | Primary |
| 171400000X | Health & Wellness Coach | (NU) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Willis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stephanie Willis,
969 Mill Bend Dr,
Lawrenceville, GA 30044-6146
Ph: (678) 230-9822 | Stephanie Willis,
78 E Main St Ste C,
Buford, GA 30518-5711
Ph: (678) 357-3161 |
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