Terell Willard
General Practice β’ Groton, CT
1 Wahoo Ave
Groton, CT 063492324
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
1 Wahoo Ave
Groton, CT 063492324
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019β2025.
NPI first issued
2024
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Groton and Connecticut
7 active clinicians are listed under General Practice with a practice address in Groton, CT (76 in Connecticut).
Addresses are self-reported to NPPES and may be out of date.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-11-18NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
NUCC Taxonomy Code: 171000000X
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Emergency Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Dentist
Doctor of Dental Surgery
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Physical Therapist
Physical Therapist, Doctor of Physical Therapy
Psychiatry & Neurology - Neurology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1 WAHOO AVE, GROTON, CT 063492324 (Tel: 8606943743)
Registered at 1 WAHOO AVE, GROTON, CT 063492324
NPI status registered as active in NPPES database
Registered at NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DR, SAN DIEGO, CA 921345000 (Tel: 3237178079)
Registered at NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DR, SAN DIEGO, CA 921345000 (Tel: 3237178079)
Recorded as TERELL WILLARD
Military Health Care Provider
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
1 Wahoo Ave
Groton, CT 063492324