Alyssa Lm Willis, CPNP-PC - Pediatrics in Marietta, GA

Alyssa Lm Willis, CPNP-PC is a Pediatrics physician based in Marietta, Georgia. Alyssa Lm Willis is licensed to practice in Georgia (license number RN224983) and her current practice location is 3911 Mary Eliza Trce Nw Ste 500, Marietta, Georgia. She can be reached at her office (for appointments etc.) via phone at (678) 384-3480.

NPI number for Alyssa Lm Willis is 1568030112 and her current mailing address is 1654 Fair Oak Way, Mableton, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568030112.

Contact Information

Alyssa Lm Willis, CPNP-PC
3911 Mary Eliza Trce Nw Ste 500,
Marietta, GA 30064-1089
(678) 384-3480
Not Available

Map and Direction




Physician's Profile

Full NameAlyssa Lm Willis
GenderFemale
SpecialityPediatrics
Location3911 Mary Eliza Trce Nw Ste 500, Marietta, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1568030112
  • Provider Enumeration Date: 06/10/2021
  • Last Update Date: 02/06/2023

Medical Identifiers

Medical identifiers for Alyssa Lm Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568030112NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics RN224983 (Georgia)Primary

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. Alyssa Lm 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 AddressPractice Location Address
Alyssa Lm Willis, CPNP-PC
1654 Fair Oak Way,
Mableton, GA 30126-5754

Ph: (228) 238-1211
Alyssa Lm Willis, CPNP-PC
3911 Mary Eliza Trce Nw Ste 500,
Marietta, GA 30064-1089

Ph: (678) 384-3480

Reviews and Comments


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