Charles Adam Willis
FNP | Nurse Practitioner | 12+ years Exp
6419 Bristol Hwy, Piney Flats
Tennessee, 37686-5208
423-538-5202
Charles Adam Willis is a Piney Flats, Tennessee based nurse practitioner with 12 years of experience in Nurse Practitioner. He completed his graduation in 2013. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Charles Adam Willis is 18377 for Family in Tennessee. His current practice location is 6419 Bristol Hwy, Piney Flats. Patients can reach him at 423-538-5202 or can fax him at 423-538-8208. Charles Adam Willis is FNP with specialization in Nurse Practitioner and his NPI number (Unique professional ID assigned by NPPES) is 1659795151.
Charles Adam Willis has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Charles Adam Willis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Charles Adam Willis |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | FNP |
| Experience: | 12+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2013 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 6419 Bristol Hwy, Piney Flats,
Tennessee, 37686-5208 |
| Phone: | 423-538-5202 |
| Fax: | 423-538-8208 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2769613249 |
| Enrollment ID: | I20140326001289 |
| NPI Number: | 1659795151 |
| NPI Enumeration Date: | 05 Feb, 2014 |
| NPI Last Update On: | 28 Feb, 2017 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charles Adam Willis are as mentioned below.
| License Number | Specialization | State | Status | |
| 18377 | Family | Tennessee | Primary | |
| RN0000177156 | Registered Nurse | Tennessee | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Charles Adam Willis is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Health Express (5799072963) | 5 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Charles Adam Willis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| Q003839 | Medicaid | Tennessee | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Charles Adam Willis
6419 Bristol Hwy,
Piney Flats, Tennessee |
| Zip: | 37686-5208 |
| Phone Number: | 423-538-5202 |
| Fax Number: | 423-538-8208 |
Patients can reach Charles Adam Willis at
6419 Bristol Hwy, Piney Flats, Tennessee or can
call to book an appointment on 423-538-5202.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.