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

Dr. Justin Wayne Willis, DC

Individual provider Chiropractor · NPI 1699312173

Dr. Justin Wayne Willis, DC is a Chiropractic in New Smyrna Beach, Florida. Qualified in 2019, 7 years ago. Practices with Atlantic Wellness Center, a 4-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

225 N Cswy
New Smyrna Beach, FL 32169-5239
Phone: (386) 424-9977
Fax: (386) 423-3899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 12993 (FL)

Record details

NPI number1699312173
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedDecember 4, 2019
Last updated in NPPESDecember 4, 2019
Mailing address210 Seminole Ave, Ormond Beach, FL 32176-8129

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Atlantic Wellness Center — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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