NPIMap

Individual provider Active NPI

Carl Rogaston Willis, M.D.

  • Hematology & Oncology Physician
  • Nashville, TN
National Provider Identifier
1154376259
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
037952 Issued in TN
Practice address
322 22ND Ave N Ste 400
Nashville, TN 37203-1870
Phone
(615) 320-5090
Fax
(615) 320-1225
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 037952 TN Primary

Addresses

Primary practice location

322 22ND Ave N Ste 400
Nashville, TN 37203-1870

Mailing address

2004 Hayes St Ste 800
Nashville, TN 37203-2659
Phone (615) 329-0570

Other identifiers 2

IdentifierTypeStateIssuer
4090607OtherTNBCBS OF TN IND PROVIDER #
3894844MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040713000330 TN Practitioner - Medical Oncology 6709864010 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
University of Alabama School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

250 25TH Ave N
Suite 100
Nashville, TN 37203-1625
Phone (615) 320-5090

Hospital & facility affiliations

  • Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082
  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161
  • Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194
  • Tristar Northcrest Medical Center Hospital, Springfield, TN, CCN 440065

Merit-based Incentive Payment System (MIPS)

Final score
93.38 of 100Reported as group
Quality
84.25
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
037952TNMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Verdi Oncology Tennessee, PC Hematology & Oncology CurrentSince Apr 1, 2020 Accepting new patients
Tennessee Oncology PastSince Nov 22, 2024 Accepting new patients
Tennessee Oncology,PLLC Past Accepting new patients
Verdi Oncology Tennessee, PC Past Accepting new patients

Locations

2004 Hayes St
Ste 800
Nashville, TN 37203
Phone (615) 514-3023

2004 Hayes St
Ste 720
Nashville, TN 37203
Phone (615) 284-2310

335 24th Ave N
Ste 200
Nashville, TN 37203
Phone (615) 284-2310

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1154376259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 HAYES ST STE 800",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032659",
            "telephone_number": "615-329-0570",
            "fax_number": "615-329-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 22ND AVE N STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031870",
            "telephone_number": "615-320-5090",
            "fax_number": "615-320-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "CARL",
        "middle_name": "ROGASTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TN",
            "license": "037952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN IND PROVIDER #",
            "identifier": "4090607",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3894844",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.