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

Brandy C. Willis, MD

Individual provider Family Medicine Physician · NPI 1457556268

Brandy C. Willis, MD is a Family Practice in Tallahassee, Florida. Qualified in 2007, 19 years ago. Practices with Abundant Life Institute, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
19
Licensed in
FL
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2646 Centennial Pl Ste A
Tallahassee, FL 32308-0573
Phone: (850) 702-0300
Fax: (850) 325-6015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME103588 (FL)

Record details

NPI number1457556268
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2007
Last updated in NPPESOctober 12, 2022
Certification dateOctober 12, 2022
Mailing addressPo Box 12427, Tallahassee, FL 32317-2427

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Abundant Life Institute, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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