Doctor profile · Federal record
Dr. Dakotah Willis, PA-C
Physician Assistant · Jackson, TN
- NPI 1053005959
- Accepts Medicare
- 4 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
657 Skyline Dr
Jackson, TN 383013907
(731) 541-2250
Credentials & registration
- NPI registered
- June 2023 — 3 yrs on file
- Profile last updated
- December 3, 2024
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Tennessee #5329
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053005959. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$80
Transactions
4
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Endologix LLC | 1 | $22.85 | |
| Pacira Pharmaceuticals Incorporated | 1 | $20.58 | |
| AstraZeneca Pharmaceuticals Lp | 1 | $18.56 | |
| Takeda Pharmaceuticals U.S.A., INC. | 1 | $18.42 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Dakotah Willis's medical specialty?
Dr. Dakotah Willis practices Physician Assistant in Jackson, TN.
Where does Dr. Dakotah Willis practice?
Dr. Dakotah Willis practices at 657 Skyline Dr, Jackson, TN 383013907. Office phone: 7315412250.
What is Dr. Dakotah Willis's NPI?
Dr. Dakotah Willis's National Provider Identifier (NPI) is 1053005959, issued by NPPES.
Does Dr. Dakotah Willis accept Medicare assignment?
Yes. Dr. Dakotah Willis accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.