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Dr. Randy Joe Willis , DC

Chiropractor β€’ Kannapolis, NC

Active NPI 1780632422 Individual Practitioner Male Practitioner
Practice location in NPPES

607 Rainbow Dr
Kannapolis, NC 280814746

Call 7046521393 Location details and other listings
Medical Disclaimer

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

Practice Address

607 Rainbow Dr

Kannapolis, NC 280814746

Telephone 7046521393
Organization at the Same NPPES Address or Phone
Fidelity Chiropractic, Pllc Facility NPI 1619019858

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

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, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Willis has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Kannapolis and North Carolina

14 active clinicians are listed under Chiropractor with a practice address in Kannapolis, NC (2,243 in North Carolina).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Kannapolis

0% of these 14 clinicians have the CMS telehealth indicator.

35.7% of these 14 clinicians are listed by CMS as accepting Medicare assignment.

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: 2025-03-25
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES NC 3043

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: North Carolina Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CHIROPRACTIC

Medicare Enrollment ID

I20080521000507

Enrollment State Jurisdiction

NC

PECOS Control ID

1557306669

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location March 25, 2025

Registered at 607 RAINBOW DR, KANNAPOLIS, NC 280814746 (Tel: 7046521393)

πŸ“
Updated Business Mailing Address March 25, 2025

Registered at 242 OAK AVE STE 155, KANNAPOLIS, NC 280814329 (Tel: 9803301680)

βœ…
NPI Profile Active July 26, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 26, 2013

Registered at 2713 S MAIN ST, CONCORD, NC 280274193 (Tel: 7046521393)

πŸ“
Business Mailing Address (Initial Record) July 26, 2013

Registered at PO BOX 1292, KANNAPOLIS, NC 280821292 (Tel: 7046521393)

πŸ‘€
Provider Name / Credentials (Initial Record) July 26, 2013

Recorded as RANDY WILLIS, D.C.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2013

Chiropractor (license number reported to NPPES: NC 3043)

🟒
Initial NPI Registration & Enumeration May 05, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1780632422
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2006
Last Update: March 25, 2025
Sole Proprietor: Yes

Other Chiropractors in Kannapolis

All Chiropractors in Kannapolis

Mailing Address

242 Oak Ave Ste 155

Kannapolis, NC 280814329

Phone: 9803301680

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.