Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Charles Keith Willis, MD

Individual provider Diagnostic Neuroimaging (Psychiatry & Neurology) Physician · NPI 1427014497

Dr. Charles Keith Willis, MD is a Diagnostic Neuroimaging (Psychiatry & Neurology) Physician in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

912 Third St Ste 101
Greensboro, NC 27405-6967
Phone: (336) 273-2511
Fax: (336) 370-0287
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 33768 (NC)
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician Taxonomy 2084D0003X · Licence 33768 (NC)

Record details

NPI number1427014497
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 26, 2006
Last updated in NPPESSeptember 17, 2021
Certification dateSeptember 17, 2021

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