Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881045060 Individual Practitioner Male Practitioner

Dr. Samuel Andersen Willis , MD

Emergency Medicine • Augusta, GA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Willis, MD is a registered healthcare professional specializing in Emergency Medicine in Augusta, GA. Official NPI practice address is registered at 3651 WHEELER RD.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3651 Wheeler Rd

Augusta, GA 309096426

Telephone 7066516080
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.7 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
183 Specialists

Practicing in Augusta, GA (1748 Statewide)

Telehealth Adoption Rate
4.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
88.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
167 160 $1510.00 $173.11
99284 Emergency department visit with moderate level of medical decision making
28 27 $1024.00 $119.17

Medical Specialties & State Licenses

CMS Verified: 2022-07-22
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License GA 80520

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Rachel Dawkins , PA

Physician Assistant - Medical

NPI 1003164153

Physician Assistant

Dr. Samantha Newman , MD

Emergency Medicine

NPI 1215357421

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 22, 2022

Registered at 3651 WHEELER RD, AUGUSTA, GA 309096426 (Tel: 7066516080)

📍
Updated Business Mailing Address July 22, 2022

Registered at PO BOX 3052, AUGUSTA, GA 309143052 (Tel: 7622331939)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2022

Emergency Medicine (License #80520 in GA)

NPI Profile Active June 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2016

Registered at 1120 15TH ST, AUGUSTA, GA 309120004 (Tel: 4787186883)

📍
Updated Business Mailing Address June 28, 2016

Registered at 1120 15TH ST, AUGUSTA, GA 309120004 (Tel: 4787186883)

👤
Provider Name / Credentials Updated June 28, 2016

Recorded as SAMUEL WILLIS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2016

Emergency Medicine (License #008722 in GA)

🟢
Initial NPI Registration & Enumeration June 28, 2016

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: 1881045060
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2016
Last Update: July 22, 2022
Sole Proprietor: Yes

Mailing Address

Po Box 3052

Augusta, GA 309143052

Phone: 7622331939

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.