Rhett N Willis Jr., M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

0101254231 Issued in VA

Practice address

1410 Incarnation Dr Ste 205a
Charlottesville, VA 22901-5708

Phone

(434) 227-5333

Fax

(434) 483-5040

NPI assigned

Jan 26, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive SurgeryAlso: General Surgery

Education

Mercer University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Charlottesville Plastic Surgery

  • Plastic Surgery Physician
  • Charlottesville, VA
  • NPI 1083245161
  Medicare reassignment NPD Authorized official
• Sentara Medical Group

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1265485270
  Medicare reassignment NPD
• Advanced Dermatology of Charlottesville, PLC

  • MOHS-Micrographic Surgery Physician
  • Charlottesville, VA
  • NPI 1669561791
  NPD (past)

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1861798696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 INCARNATION DR STE 205A",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229015708",
            "telephone_number": "434-227-5333",
            "fax_number": "434-483-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 INCARNATION DR STE 205A",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229015708",
            "telephone_number": "434-227-5333",
            "fax_number": "434-483-5040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 College St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312071500",
            "country_code": "US",
            "telephone_number": "478-301-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "967 S 1100 E",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841051518",
            "country_code": "US",
            "telephone_number": "912-604-9598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Gresham Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071904",
            "country_code": "US",
            "telephone_number": "757-388-5680",
            "fax_number": "757-510-9157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Peter Jefferson Pkwy Ste 310",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229118836",
            "country_code": "US",
            "telephone_number": "434-977-0027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "595 Martha Jefferson Dr",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229114669",
            "country_code": "US",
            "telephone_number": "434-654-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Martha Jefferson Dr",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229114668",
            "country_code": "US",
            "telephone_number": "434-654-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2331 Seminole Ln Ste 201",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229018319",
            "country_code": "US",
            "telephone_number": "434-293-4995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "RHETT",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-26",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "UT",
            "license": "10240804-1205",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101254231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda P Williford, PH.D.
• Demetria Mone Willingham
• Amanda L Willis, PA
• Katherine L Willis, PHD
• Margaret Willis, N.P
• Sheri O Willis, AG-ACNP
• Christopher D Willms, M D
• Nancy Ellen Willner, LCSW
• Christopher B Willoughby, MD
• Abigail C Wills, MD

• Plastic Surgery Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Plastic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.

Verify at the official NPI Registry.