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

Tyler Davis Willson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093343279

Tyler Davis Willson is a Family Practice in Roanoke, Virginia. Graduated from Virginia Tech Carilion School of Medicine in 2023, 3 years ago. Practices with Carilion Medical Center, a 951-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
3
Trained at
Virginia Tech Carilion School of Medicine
Licensed in
VA
In the registry since
2020
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1314 Peters Creek Rd NW
Roanoke, VA 24017-2500
Phone: (540) 562-5700
Fax: (540) 562-4278
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 1906 Belleview Ave Se, Roanoke, VA 24014-1838 — (540) 981-7000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101276919 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093343279
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 1, 2020
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023
Mailing address213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolVIRGINIA TECH CARILION SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Carilion Medical Center — 951 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Roanoke