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

Dr. Michael Willis, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1780032706

Dr. Michael Willis, DPM is a Podiatry in Kingsport, Tennessee. Qualified in 2015, 11 years ago. Practices with East Tennessee Podiatry Associates PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
11
Licensed in
TN
In the registry since
2016
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1 Sheridan Sq Ste 102
Kingsport, TN 37660-7398
Phone: (423) 722-5200
Show map & directions

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence DPMOOOOOOO883 (TN)

Record details

NPI number1780032706
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 31, 2016
Last updated in NPPESJune 22, 2021
Certification dateJune 22, 2021
Mailing address1 Sheridan Sq Ste 102, Kingsport, TN 37660-7398

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice East Tennessee Podiatry Associates Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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