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

Dr. John Harter Willis, MD

Individual provider Otolaryngology Physician · NPI 1982929741

Dr. John Harter Willis, MD is an Otolaryngology in Winston Salem, North Carolina. Qualified in 2010, 16 years ago. Practices with Piedmont Ear, Nose and Throat Associates, PA, a 28-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana and North Carolina.

Years since qualifying
16
Licensed in
IN, NC
In the registry since
2010
Specialties on file
2
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

110 Charlois Blvd
Winston Salem, NC 27103-1522
Phone: (336) 768-3361
Fax: (336) 659-2446
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2651 E Discovery Pkwy, Bloomington, IN 47408-9059 — (812) 353-4960
  • 280 Broad St, Kernersville, NC 27284-2796 — (336) 993-2366

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 2015-00476 (NC)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 01088365A (IN)

Record details

NPI number1982929741
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2010
Last updated in NPPESJune 19, 2023
Certification dateJune 19, 2023

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Piedmont Ear, Nose And Throat Associates, P.A. — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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