IndividualActive
Stacey Willingham, M.D.
NPI 1144485293 · Physical Medicine & Rehabilitation Physician · Kennesaw, GA
Provider details
- NPI number
- 1144485293
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 041426 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
2774 N. Cobb Pkwy.
Suite 109, #133
Kennesaw, GA 30152-3334
Phone: (404) 964-1474
Street-level locationGet directions
Mailing address
2774 N Cobb Pkwy
Kennesaw, GA 30152-3469
Registry dates
- Enumerated
- 2008-07-28
- Last updated
- 2012-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.