Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Justin Kyle Willis, DC

Individual provider Chiropractor · NPI 1639501588

Justin Kyle Willis, DC is registered under Chiropractic in Kennesaw, Georgia. Graduated from Sherman College of Straight Chiropractic in 2013, 13 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
13
Trained at
Sherman College of Straight Chiropractic
Licensed in
GA
In the registry since
2013
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

2829 Dallas St NW
Kennesaw, GA 30144-2705 Not confirmed with CMS for 13 years — call before visiting
Phone: (770) 429-0707
Fax: (770) 425-9020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 9165 (GA)

Record details

NPI number1639501588
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedAugust 2, 2013
Last updated in NPPESAugust 2, 2013

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolSHERMAN COLLEGE OF STRAIGHT CHIROPRACTIC
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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