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

Dr. Simon Matt Willis, MD

Individual provider Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1356761191

Dr. Simon Matt Willis, MD is a Physical Medicine and Rehabilitation in Pooler, Georgia. Qualified in 2014, 12 years ago. Practices with Intermountain Medical Group Grand Junction, LLC, a 299-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia and South Carolina.

Years since qualifying
12
Licensed in
GA, SC
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

114 Canal St Ste 503
Pooler, GA 31322-4261
Phone: (912) 450-6300
Fax: (912) 450-6303
Show map & directions

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

Additional practice locations (2)

  • 514 S Main St Ste C, Hinesville, GA 31313-4356 — (912) 450-6300
  • 25 Sherington Dr Ste D, Bluffton, SC 29910-6031 — (843) 310-1055

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X · Licence 84680 (GA)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence 83377 (SC)

Record details

NPI number1356761191
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2014
Last updated in NPPESApril 16, 2020
Certification dateApril 16, 2020
Mailing address114 Canal St Ste 503, Pooler, GA 31322-4261

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Intermountain Medical Group Grand Junction, Llc — 299 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Pooler