Justin Willis, D.C.
NPI 1639501588 · Chiropractor · Kennesaw, GA
Enrolled with Medicare as Practitioner - Chiropractic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Willis, D.C. is a Chiropractor provider in Kennesaw, GA (NPI 1639501588).
Provider details
- NPI number
- 1639501588
- Entity type
- Individual
- Primary specialty
- ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- License
- 9165 (GA)
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
- 2013-08-02
- Last updated
- 2013-08-02
Frequently asked questions
- What is Justin Willis's NPI number?
- Justin Willis's National Provider Identifier (NPI) is 1639501588, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Willis's specialty?
- Justin Willis is listed in the NPPES registry with a primary specialty of Chiropractor (Chiropractic Providers).
- Where is Justin Willis located?
- Justin Willis's practice location on file with NPPES is 2829 Dallas St Nw, Kennesaw, GA 30144-2705.
- What is Justin Willis's phone number?
- The practice phone number listed in the NPPES registry for Justin Willis is (770) 429-0707.
- Does Justin Willis accept Medicare?
- Justin Willis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin Willis's NPI active?
- Yes — Justin Willis's NPI (1639501588) is active in the NPPES registry as of the last update on 2013-08-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.