Stephanie Willis
Health Educator in Buford, GA. Individual provider (NPI-1).
NPI number1871240002
StatusActive
Last updated in NPPESMar 3, 2026
Details
- NPI
- 1871240002
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Willis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 8, 2022
- Certification date
- Mar 3, 2026
- Last updated
- Mar 3, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174H00000X | Health Educator | – | – | Yes |
| 171400000X | Health & Wellness Coach | – | – | |
| 101YP1600X | Counselor, Pastoral | 744042 | GA |
Practice location
78 E Main St Ste CBuford, GA 30518-5711
Phone 678-357-3161
Mailing address
969 Mill Bend DrLawrenceville, GA 30044-6146
Phone 678-230-9822
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