Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225893993 Individual Practitioner Male Practitioner

Terell Willard

General Practice • Groton, CT

Professional Overview & Biography Verified Profile Summary

Terell Willard is a registered healthcare professional specializing in General Practice in Groton, CT. Practice services are available at 1 WAHOO AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Wahoo Ave

Groton, CT 063492324

Telephone 8606943743
Associated Practice Facility / Clinic
🏢 Branch Medical Clinic Groton Facility NPI 1972564243

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Groton, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
7 Specialists

Practicing in Groton, CT (87 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-18
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License VA 0101286727

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Joshua Balter , NAVY IDC

Military Health Care Provider - Independent Duty Corpsman

NPI 1003931163

NAVYIDC

William Murphy , IDC

Military Health Care Provider - Independent Duty Corpsman

NPI 1033692835
Sarah Hirschkowitz

Registered Nurse - Case Management

NPI 1033932041
Corey Wilfon

Military Health Care Provider - Independent Duty Corpsman

NPI 1033989900
Matthew Cooper , APRN

Nurse Practitioner - Family

NPI 1043087224

Advanced Practice Registered Nurse

Dr. Matthew Miller , DDS

Dentist - Periodontics

NPI 1043207004

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location November 18, 2025

Registered at 1 WAHOO AVE, GROTON, CT 063492324 (Tel: 8606943743)

📍
Updated Business Mailing Address November 18, 2025

Registered at 1 WAHOO AVE, GROTON, CT 063492324

NPI Profile Active February 22, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location February 22, 2024

Registered at NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DR, SAN DIEGO, CA 921345000 (Tel: 3237178079)

📍
Updated Business Mailing Address February 22, 2024

Registered at NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DR, SAN DIEGO, CA 921345000 (Tel: 3237178079)

👤
Provider Name / Credentials Updated February 22, 2024

Recorded as TERELL WILLARD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2024

Military Health Care Provider

🟢
Initial NPI Registration & Enumeration February 20, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225893993
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2024
Last Update: November 18, 2025
Sole Proprietor: No

Mailing Address

1 Wahoo Ave

Groton, CT 063492324

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.