ANGELA LEE WILLIS MD NPI 1205825866

NPI Information

  • NPI: 1205825866
  • Provider Name: ANGELA LEE WILLIS, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 5651 FRIST BLVD
    SUITE 713
    HERMITAGE, TN
    ZIP 37076
  • Phone: (615) 316-5662

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NPI Details

Angela Lee Willis, MD is a family medicine in Hermitage, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Angela Lee Willis, MD NPI is 1205825866. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5651 FRIST BLVD
SUITE 713
HERMITAGE, TN
ZIP 37076-054
Phone: (615) 316-5662
Fax: (615) 316-5666

The enumeration date for this NPI number is 10/17/2005 and was last updated on 4/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMD40253TENNESSEENo
2207Q00000XFamily Medicine40253TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13335851MEDICAIDTENNESSEE
2I46529MEDICARE UPIN
33335851MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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