C. KEITH WILLIS M.D. – NPI #1427014497
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

C. WILLIS is a psychiatry & neurologist located in GREENSBORO, NC. NPPES has assigned the NPI number 1427014497 to C. WILLIS on April 26, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his other name CHARLES WILLIS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was previously updated about 5 years ago on Sep 17, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for C. WILLIS below.

NPI Profile for
CHARLES K. WILLIS

NPI Number
1427014497
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHARLES K. WILLIS
Professional Name: C. KEITH WILLIS
Credentials
M.D.
Primary location
912 THIRD STREET
SUITE 101
GREENSBORO, NC 27405-6967
Phone: (336) 273-2511 Fax: (336) 370-0287
Mailing address
PO BOX 29568
GREENSBORO, NC 27429-9568
Phone: (336) 273-2511 Fax: (336) 370-0287
Sole Proprietor
No
Updated
Certification Date
Sep 17, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for C. WILLIS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPALMETTO GBA RR MEDICARENC130015016
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)
NC 33768
2084D0003X
- Psychiatry & Neurology / Diagnostic Neuroimaging
NC 33768

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
CONE HEALTH DIRECT ADDRESS
Content Type
CSV
Affiliation
N
Endpoint Location
912 THIRD STREET,
GREENSBORO, NC 77025-1669

Additional Information

Affiliations
C. WILLIS is affiliated with the following medical group(s):
  • HOSPITAL
    • MOSES H. CONE MEMORIAL HOSPITAL, THE
      1200 N ELM ST
      GREENSBORO, NC 27401

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.