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DR. CHARLES KEITH WILLIS M.D.
NPI 1427014497
Psychiatry & Neurology - Neurology in Greensboro, NC

Active since April 26, 2006
82.15/100
CMS Quality Rating
912 THIRD STREET, SUITE 101, GREENSBORO, NC 27405(336) 273-2511(336) 370-0287 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Charles Keith Willis M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES KEITH WILLIS M.D. (NPI 1427014497) is an individual neurology provider in Greensboro, North Carolina, licensed in North Carolina (33768) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1427014497
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. CHARLES KEITH WILLISCredential: M.D.
Location Address912 THIRD STREET, SUITE 101Greensboro, NC 27405-6967
Mailing AddressPo Box 29568Greensboro, NC 27429-9568 · (336) 273-2511 · Fax (336) 370-0287
Phone(336) 273-2511
Fax(336) 370-0287
Sole ProprietorNo
Enumeration DateApril 26, 2006
Last NPPES UpdateSeptember 17, 2021
NPPES CertifiedSeptember 17, 2021
✔ NPI 1427014497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NC · 33768
Definition
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.
Also ListedPsychiatry & Neurology · Diagnostic NeuroimagingTaxonomy 2084D0003X · License 33768 (NC)
912 THIRD STREET, Greensboro, NC 27405
Open in Google Maps ↗

Other Names 1

Professional Name (2)Dr. C. Keith Willis M.d.

Other Identifiers 1

Other130015016NC · Palmetto Gba Rr Medicare

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.92
Promoting Interoperability81
Improvement Activities40
Cost72.4

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL LEROY REYNOLDS M.D.
Psychiatry & Neurology (Neurology)
912 THIRD STREET, SUITE 101
GREENSBORO, NC 27405
Guilford County (336) 273-2511
GUILFORD NEUROLOGIC ASSOCIATES, INC.
Specialist
912 THIRD STREET, SUITE 101
GREENSBORO, NC 27405
Guilford County (336) 273-2511
YIJUN YAN MD
Psychiatry & Neurology (Neurology)
912 THIRD STREET, SUITE 101
GREENSBORO, NC 27405
Guilford County (336) 273-2511
DR. JAMES M. LOVE M.D.
Psychiatry & Neurology (Neurology)
912 THIRD STREET, SUITE 101
GREENSBORO, NC 27405
Guilford County (336) 273-2511
DR. CHARLES R. STEWART M.D.
Psychiatry & Neurology (Neurology)
912 THIRD STREET, SUITE 101
GREENSBORO, NC 27405
Guilford County (336) 273-2511
DR. CARMEN DOHMEIER M.D.
Psychiatry & Neurology (Neurology)
912 THIRD STREET, SUITE 101
GREENSBORO, NC 27405
Guilford County (336) 273-2511
VIKRAM REDDY PENUMALLI MD
Psychiatry & Neurology (Neurology)
912 THIRD STREET, SUITE 101
GREENSBORO, NC 27405
Guilford County (336) 273-2511
MS. NANCY CAROLYN MARTIN GNP
Nurse Practitioner
912 THIRD STREET, SUITE 101
GREENSBORO, NC 27405
Guilford County (336) 273-2511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Willis's NPI number?

The NPI number for Charles Willis is 1427014497. It was assigned to this individual provider in the NPPES registry on April 26, 2006. The provider is also known as Dr. C. Keith Willis M.D..

Where is Charles Willis located?

Charles Willis practices at 912 Third Street Suite 101, Greensboro, NC 27405. The listed phone number is (336) 273-2511.

What is Charles Willis's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Charles Willis was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.