NPIMap

Organization Active NPI

Angela Willis Family Practice PLLC

  • Family Medicine Physician
  • Hermitage, TN
National Provider Identifier
1891151981
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ANGELA WILLIS FAMILY PRACTICE PLLC
Practice address
3441 Lebanon Pike
Suite 101
Hermitage, TN 37076-2097
Phone
(615) 316-5662
NPI assigned
Jan 6, 2016
Last updated
Jan 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Authorized official

Name
Dr. Angela L Willis, MDNPI 1205825866
Title
Owner
Phone
(615) 316-5662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TN Primary

Addresses

Primary practice location

3441 Lebanon Pike
Suite 101
Hermitage, TN 37076-2097

Mailing address

3441 Lebanon Pike
Suite 101
Hermitage, TN 37076-2097
Phone (615) 316-5662

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1891151981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 LEBANON PIKE",
            "address_2": "SUITE 101",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762097",
            "telephone_number": "615-316-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 LEBANON PIKE",
            "address_2": "SUITE 101",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762097",
            "telephone_number": "615-316-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA WILLIS FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-316-5662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.