CHARLES ADAM WILLIS (NPI# 1659795151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659795151 |
| Entity Type | Individual |
| Full Name | CHARLES ADAM WILLIS |
| Credential | FNP |
| Practice Address |
6419 Bristol Hwy Piney Flats TN 37686-5208 |
| Practice Telephone | 4235385202 |
| Practice Fax Number | 4235388208 |
| Mailing Telephone | 4235385202 |
| Mailing Fax Number | 4235388208 |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2017-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN0000177156 | TN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
18377 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q003839 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336142983 | Charles E Willis | Anesthesiology | 911 York Dr Ste 205, Desoto, TX 75115-2064 | 2005-05-27 |
| 1699259507 | Charles Derrell Willis | Counselor | 5650 Jillson St, Commerce, CA 90040-1482 | 2018-09-18 |
| 1174066492 | Charles C Willis | Physical Therapy Assistant | 2649 E 75th St, Chicago, IL 60649-3835 | 2016-11-18 |
| 1689801409 | Charles Steadman Willis IIi | Dentist | 1212 Broad St, Durham, NC 27705-3572 | 2009-06-18 |
| 1730259383 | Charles Steadman Willis | Dentist | 1212 Broad St, Durham, NC 27705-3572 | 2006-11-09 |
| 1720160146 | Charles Stephen Willis | Counselor | 500 Chestnut St, Ste. 1001, Abilene, TX 79602-1453 | 2006-10-19 |
| 1427014497 | Charles Keith Willis | Psychiatry & Neurology | 912 Third Street, Suite 101, Greensboro, NC 27405-6967 | 2006-04-26 |
| Street Address |
6419 BRISTOL HWY |
| City | PINEY FLATS |
| State | TN |
| Zip Code | 37686-5208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477565570 | Timothy R Zeolia | Physician Assistant | 6419 Bristol Hwy, Piney Flats, TN 37686-5208 | 2006-08-13 |
| 1578107181 | Mary Catherine Elizabeth Shipley | Nurse Practitioner | 6419 Bristol Hwy, Piney Flats, TN 37686-5208 | 2019-11-06 |
| 1366934382 | Adrian Ricketts Davies | Physician Assistant | 6419 Bristol Hwy, Piney Flats, TN 37686 | 2018-06-05 |
| 1538409230 | Joshua Barrett Compton | Physician Assistant | 6419 Bristol Hwy, Piney Flats, TN 37686-5208 | 2013-02-18 |
| 1740356799 | Coy B Stone | Family Medicine | 6419 Bristol Hwy, Piney Flats, TN 37686-5208 | 2006-11-28 |
| 1003904723 | Kenneth Starnes | Physician Assistant | 6419 Bristol Hwy, Piney Flats, TN 37686-5208 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356379093 | Emmaus Community Healthcare | General Practice | 6419 Bristol Highway, Piney Flats, TN 37686 | 2006-06-29 |
| 1982791927 | John Frank Testerman IIi | Physician Assistant | James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37686 | 2006-10-10 |
| 1700958311 | Steven C Marrs | Dentist | 108 Poplar Ridge Rd, Piney Flats, TN 37686-0244 | 2006-11-15 |
| 1750394995 | Abdul Sadik | Radiology | 836 Summer Sound Rd, Piney Flats, TN 37686-3314 | 2006-08-15 |
| 1174066070 | Stephanie Leana Landers | Respiratory Therapist, Registered | 436 Beck Dr, Piney Flats, TN 37686-3403 | 2016-11-23 |
| 1366593857 | James William Hamilton | Pharmacist | 335 Hideaway Farm Rd, Piney Flats, TN 37686-3525 | 2007-01-13 |
| 1053349548 | Robert A Hodge | Pharmacist | 112 Boonewood Private Dr, Piney Flats, TN 37686-3611 | 2006-06-30 |
| 1205042272 | Deborah Lynne Doane | Speech-Language Pathologist | 1252 Weaver Branch Rd, Piney Flats, TN 37686-3714 | 2007-05-15 |
| 1508267089 | Sherry Mayne | Dental Hygienist | 461 New Bethel Rd, Piney Flats, TN 37686-4032 | 2014-09-15 |
| 1508868480 | Christy A Rabetoy | Nurse Practitioner | 116 Allison Timbers Rd, Piney Flats, TN 37686-4043 | 2005-08-11 |
| Find all providers in zip 37686 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508868480 | Christy A Rabetoy | Nurse Practitioner | 116 Allison Timbers Rd, Piney Flats, TN 37686-4043 | 2005-08-11 |
| 1578107181 | Mary Catherine Elizabeth Shipley | Nurse Practitioner | 6419 Bristol Hwy, Piney Flats, TN 37686-5208 | 2019-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003731 | Erika Erickson | Nurse Practitioner | 2205 Steel Ct, Nolensville, TN 37135-9562 | 2020-11-06 |
| 1275134025 | Dara Downs | Nurse Practitioner | 1120 Glenview Dr, Nashville, TN 37206-3832 | 2020-11-06 |
| 1477154367 | Katrina Miller | Nurse Practitioner | 515 Lillard Rd, Murfreesboro, TN 37130-3131 | 2020-11-05 |
| 1780285932 | Caitlyn Lawson | Nurse Practitioner | 7637 Saddlebrooke Dr, Knoxville, TN 37938-4044 | 2020-11-04 |
| 1134729965 | Jamie Mclemore | Nurse Practitioner | 17619 Hwy 58 North, Decatur, TN 37322-3732 | 2020-10-30 |
| 1154921120 | Melissa Ann Mcnutt | Nurse Practitioner | 941 Windsor Ave, Bristol, TN 37620-2155 | 2020-10-29 |
| 1033718960 | Kasi Wells | Nurse Practitioner | 1421 Porter Rd Ste 4, Nashville, TN 37206-1669 | 2020-10-21 |
| 1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
| 1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
| 1295333045 | Alma Sue Moore | Nurse Practitioner | 14 Shady Lane Est, Humboldt, TN 38343-6650 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | PINEY FLATS |
| Zip Code | 37686 |
Please comment or provide details below to improve the information on CHARLES ADAM WILLIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.