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

Justin Willingham

Individual provider Physician Assistant · NPI 1184001224

Justin Willingham is a Physician Assistant in Atlanta, Georgia. Graduated from Emory University School of Medicine in 2014, 12 years ago. Practices with Advanced Neurosurgery Associates LLC, a 15-clinician group and accepts Medicare assignment.

Years since qualifying
12
Trained at
Emory University School of Medicine
In the registry since
2015
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Practice location Address checks out

1346 Clifton Rd NE
Atlanta, GA 30322-1059
Phone: (404) 712-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1184001224
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 28, 2015
Last updated in NPPESMarch 8, 2021
Certification dateMarch 8, 2021
Mailing address631 Professional Dr, Ste 360, Lawrenceville, GA 30046-3370

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Advanced Neurosurgery Associates Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Atlanta