J. Todd Willis, MD Clinic
NPI 1053788240 · General Practice Physician · Philadelphia, MS
J. Todd Willis, MD Clinic is a General Practice Physician organization in Philadelphia, MS (NPI 1053788240).
Provider details
- NPI number
- 1053788240
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cheryl Savell, Credentialing Coordinator(601) 663-1285
- License
- 12556 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-08-24
- Last updated
- 2015-08-24
Frequently asked questions
- What is J. Todd Willis, MD Clinic's NPI number?
- J. Todd Willis, MD Clinic's National Provider Identifier (NPI) is 1053788240, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is J. Todd Willis, MD Clinic?
- J. Todd Willis, MD Clinic is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is J. Todd Willis, MD Clinic located?
- J. Todd Willis, MD Clinic's practice location on file with NPPES is 1003 Holland Avenue, Philadelphia, MS 39350-2180.
- What is J. Todd Willis, MD Clinic's phone number?
- The practice phone number listed in the NPPES registry for J. Todd Willis, MD Clinic is (601) 656-0010.
- Who is the authorized official for J. Todd Willis, MD Clinic?
- The authorized official listed on J. Todd Willis, MD Clinic's NPPES record is Cheryl Savell, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is J. Todd Willis, MD Clinic's NPI active?
- Yes — J. Todd Willis, MD Clinic's NPI (1053788240) is active in the NPPES registry as of the last update on 2015-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.