Active NPI
Hunter Willis, DO
- Family Medicine Physician
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 6431
- Practice address
- 294 Summar Dr
Jackson, TN 38301-3915 - Phone
- (731) 423-1932
- Fax
- (731) 660-8739
- NPI assigned
- Mar 20, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 6431 | TN | Primary |
Addresses
Primary practice location
294 Summar Dr
Jackson, TN 38301-3915
Mailing address
294 Summar Dr
Jackson, TN 38301-3915
Phone (731) 423-1932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250829002265 | TN | Practitioner - Family Practice | 2264874338 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lincoln Memorial University Medical Department, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Medical Care Facilities PC
Practice addresses (Care Compare)
620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000
Hospital & facility affiliations
- West Tennessee Healthcare Milan Hospital
- Ascension Saint Thomas Three Rivers
- Jackson-Madison County General Hospital
- West Tennessee Healthcare Camden Hospital
- West Tennessee Healthcare Bolivar Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6431 | TN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medical Care Facilities PC | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current | Accepting new patients | |
| Hospital Medicine Services of Tennessee PC | Family Medicine | Current | Accepting new patients |
| Concord Medical Group PLLC | Current | Accepting new patients | |
| Concord Medical Group of Kentucky PLLC | Current | Accepting new patients |
Locations
650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834
175 Hospital Dr
Camden, TN 38320
Phone (731) 584-6135
135 E Swan St
Centerville, TN 37033
Phone (931) 729-3513
9400 Rhea County Hwy
Dayton, TN 37321
Phone (423) 285-5220
5001 E Main St
Erin, TN 37061
Phone (336) 944-6420
631 Rb Wilson Dr
Huntingdon, TN 38344
Phone (731) 986-2933
367 Hospital Blvd
Jackson, TN 38305
Phone (731) 661-2000
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
161 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-4261
4039 Highland St
Ste 1
Milan, TN 38358
Phone (731) 723-3668
742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100
451 Highway 13 S
Waverly, TN 37185
Phone (931) 296-0211
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Hardinsburg, KY
- NPI 1346746385
TN
-
- Hospitalist Physician
- Lawrenceburg, IN
- NPI 1528433802
Family Medicine, TN
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Waverly, TN
- NPI 1235387044
Hospital
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1043070899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "294 SUMMAR DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013915",
"telephone_number": "731-423-1932",
"fax_number": "731-660-8739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "294 SUMMAR DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013915",
"telephone_number": "731-423-1932",
"fax_number": "731-660-8739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "HUNTER",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-20",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "6431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.