Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

J. Todd Willis, MD Clinic

Organization General Practice Physician · NPI 1053788240

J. Todd Willis, MD Clinic is a General Practice Physician in Philadelphia, Mississippi. Licensed in Mississippi. Registered with an NPI since 2015.

Licensed in
MS
In the registry since
2015

Practice location Address checks out

1003 Holland Ave Ste 104
Philadelphia, MS 39350-2180
Phone: (601) 656-0010
Fax: (601) 656-0313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 12556 (MS)

Record details

NPI number1053788240
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Savell — Credentialing Coordinator · (601) 663-1285
NPI enumeratedAugust 24, 2015
Last updated in NPPESAugust 24, 2015
Mailing address1003 Holland Ave, Suite 104, Philadelphia, MS 39350-2180

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