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

Dr. Tony L. Willson, MD

Individual provider Family Medicine Physician · NPI 1982798310

Dr. Tony L. Willson, MD is a Family Practice in St Johns, Florida. Qualified in 2004, 22 years ago. Practices with Baptist Primary Care Inc, a 457-clinician group and accepts Medicare assignment. Licensed in Colorado and Florida.

Years since qualifying
22
Licensed in
CO, FL
In the registry since
2006
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

1310 County Road 210 W
St Johns, FL 32259-1183
Phone: (904) 824-4407
Fax: (904) 390-7459
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME97817 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence DR.0052091 (CO)

Record details

NPI number1982798310
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024
Mailing addressPo Box 746638, Atlanta, GA 30374-6638

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Baptist Primary Care Inc — 457 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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