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

Dr. Marshall Ray Willis, MD

Individual provider Diagnostic Radiology Physician · NPI 1528054293

Dr. Marshall Ray Willis, MD is a Diagnostic Radiology Physician in Jasper, Tennessee. Licensed in Tennessee. Registered with an NPI since 2005.

Licensed in
TN
In the registry since
2005
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

1000 Highway 28 Grandview Medical Ctr
Jasper, TN 37347-3638
Phone: (423) 942-1674
Fax: (423) 942-9982
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 011377 (TN)

Record details

NPI number1528054293
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 27, 2005
Last updated in NPPESJuly 13, 2026
Mailing addressPo Box 128, 195 Myers Ave, Guild, TN 37340-0128

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