W A WILLIS MD PA NPI 1952662900

NPI Information

  • NPI: 1952662900
  • Provider Name: W A WILLIS MD PA
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • Address: 2850 VILLAGE DR
    SUITE 103
    FAYETTEVILLE, NC
    ZIP 28304
  • Phone: (910) 223-9801

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NPI Details

W A WILLIS MD PA is a psychiatry psychiatry neurology in Fayetteville, NC. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. W A WILLIS MD PA NPI is 1952662900. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2850 VILLAGE DR
SUITE 103
FAYETTEVILLE, NC
ZIP 28304-869
Phone: (910) 223-9801
Fax: (910) 223-9819

The provider's authorized official is Phyllis L Carter .
The authorized official title is Office Adminstrator and has the following contact phone number (910) 391-4588.

The enumeration date for this NPI number is 6/6/2012 and was last updated on 6/6/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatry22449NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18988133MEDICAIDNORTH CAROLINA
2202042EMEDICARE PINNORTH CAROLINA
3C89005MEDICARE UPINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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