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Active NPI 1053005959 Individual Practitioner Female Practitioner

Dakotah Willis , PA-C

Physician Assistant • Jackson, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dakotah Willis, PA-C is a certified Physician Assistant practicing in Jackson, TN. With approximately 4 years of clinical experience since completing medical education in 2022, Dakotah Willis delivers high-quality medical care to the local community at 657 SKYLINE DR.

Dakotah Willis is affiliated with West Tennessee Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

657 Skyline Dr

Jackson, TN 383013907

Telephone 7315412250
Associated Practice Facility / Clinic
🏢 William Terry Holt Facility NPI 1013319961

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jackson, TN

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -3.2 yrs vs City Avg
City Avg: 7.2 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
42 Specialists

Practicing in Jackson, TN (3096 Statewide)

Telehealth Adoption Rate
4.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Willis (4 Years) 4 Yrs
Jackson Specialty Average (7.2 Years) 7.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
23 20 $107.00 $43.85

Medical Specialties & State Licenses

CMS Verified: 2024-12-03
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TN 5329

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

West Tennessee Medical Group Inc

620 Skyline Dr, Jackson, TN 383013923

Phone: 7315415000

West Tennessee Medical Group Inc

700 W Forest Ave, Jackson, TN 383013937

Practice Associates & Co-Workers

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

2 Associated Practitioners
Kyona Olatunji , NP

Nurse Practitioner

NPI 1144813700

Nurse Practitioner

Dr. Mojahid Ali , MD

Surgery - Vascular Surgery

NPI 1821627910

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 03, 2024

Registered at 657 SKYLINE DR, JACKSON, TN 383013907 (Tel: 7315412250)

📍
Updated Business Mailing Address December 03, 2024

Registered at 657 SKYLINE DR, JACKSON, TN 383013907

NPI Profile Active June 05, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2023

Registered at 5030 CAROTHERS PKWY STE 120, FRANKLIN, TN 370676030 (Tel: 6156234637)

📍
Updated Business Mailing Address June 05, 2023

Registered at 5030 CAROTHERS PKWY STE 120, FRANKLIN, TN 370676030

👤
Provider Name / Credentials Updated June 05, 2023

Recorded as DAKOTAH WILLIS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2023

Physician Assistant (License #5329 in TN)

🟢
Initial NPI Registration & Enumeration June 05, 2023

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: 1053005959
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2023
Last Update: December 03, 2024
Sole Proprietor: No

Mailing Address

657 Skyline Dr

Jackson, TN 383013907

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.