Samuel Willis, MD
NPI 1770586588 · Gastroenterology Physician · Columbia, SC
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samuel Willis, MD is a Gastroenterology Physician provider in Columbia, SC (NPI 1770586588).
Provider details
- NPI number
- 1770586588
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 12083 (SC)
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
21 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
- 2005-05-24
- Last updated
- 2012-10-16
Frequently asked questions
- What is Samuel Willis's NPI number?
- Samuel Willis's National Provider Identifier (NPI) is 1770586588, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Willis's specialty?
- Samuel Willis is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Samuel Willis located?
- Samuel Willis's practice location on file with NPPES is 2739 Laurel St, Columbia, SC 29204-2028.
- What is Samuel Willis's phone number?
- The practice phone number listed in the NPPES registry for Samuel Willis is (803) 799-4800.
- Does Samuel Willis accept Medicare?
- Samuel Willis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samuel Willis's NPI active?
- Yes — Samuel Willis's NPI (1770586588) is active in the NPPES registry as of the last update on 2012-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.