Willow Oak Medical, LLC
NPI 1366224719 · Primary Care Clinic/Center · Clinton, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Willow Oak Medical, LLC is a Primary Care Clinic/Center organization in Clinton, IN (NPI 1366224719).
Provider details
- NPI number
- 1366224719
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeanie Kent, Owner(912) 713-1124
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2023-10-19
- Last updated
- 2023-11-01
- Certified
- 2023-11-01
Frequently asked questions
- What is Willow Oak Medical, LLC's NPI number?
- Willow Oak Medical, LLC's National Provider Identifier (NPI) is 1366224719, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Willow Oak Medical, LLC?
- Willow Oak Medical, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Willow Oak Medical, LLC located?
- Willow Oak Medical, LLC's practice location on file with NPPES is 100 S Main St, Clinton, IN 47842-2437.
- What is Willow Oak Medical, LLC's phone number?
- The practice phone number listed in the NPPES registry for Willow Oak Medical, LLC is (912) 713-1124.
- Does Willow Oak Medical, LLC accept Medicare?
- Willow Oak Medical, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Willow Oak Medical, LLC?
- The authorized official listed on Willow Oak Medical, LLC's NPPES record is Jeanie Kent, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Willow Oak Medical, LLC's NPI active?
- Yes — Willow Oak Medical, LLC's NPI (1366224719) is active in the NPPES registry as of the last update on 2023-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.