| NPI | 1104893809 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-03-02 |
| Last Updated | 2024-09-26 |
| Mailing Address | 944 Narrows Point Dr Birmingham, AL 35242-8672 United States Phone: (205) 291-8842 | Fax: (205) 235-9592 📍 View Map |
| Primary Practice Address | 401 Tuscaloosa Ave Sw Ste 210 Birmingham, AL 35211-1486 United States Phone: (205) 291-8842 | Fax: (205) 235-9592 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | AL | 009938946 | — |
| Other (non-Medicare) | — | 167582201 | Federal Black Lung |
| Other (non-Medicare) | AL | 51536439 | BCBS |
| Other (non-Medicare) | AL | 631053058026 | Tricare |
| Other (non-Medicare) | — | 783802 | Aetna |
| Other (non-Medicare) | AL | I16326 | Healthspring of Al |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | AL | 26026 |
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About NPI 1104893809
Celeste Reese Willis MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1104893809. The primary specialty listed is Family Medicine. The provider is located in Birmingham, AL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-03-02. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104893809?
NPI 1104893809 belongs to Celeste Reese Willis MD, a Family Medicine in Birmingham, AL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104893809 active?
The current status of NPI 1104893809 in the NPPES registry is Active. The record was last updated on 2024-09-26.
What specialty is NPI 1104893809?
NPI 1104893809 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104893809?
You can verify NPI 1104893809 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104893809?
The primary practice address on file for NPI 1104893809 is 401 Tuscaloosa Ave Sw Ste 210, Birmingham, AL 35211-1486. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104893809 issued?
NPI 1104893809 was first issued (enumerated) on 2006-03-02. The NPPES record was last updated on 2024-09-26.
Practice Location Map
Celeste Reese Willis is located at 401 Tuscaloosa Ave Sw Ste 210, Birmingham, AL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Celeste Reese Willis. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104893809. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 26026 | AL |