Yes, I believe Vanderbilt-Ingram Cancer Center is an NCI recognized cancer center of excellence. @jeffmarc and others gave you some excellent advice above. I'd only add that whatever you ultimately decide to do, if it's an option for you it'd be a good idea to get multiple medical opinions from doctors at recognized Cancer Centers of excellence. There's no indication yet that you have to hurry, so while you should pursue this aggressively there's no reason to blindly rush. Here's a link showing the recognized cancer centers of excellence: https://www.cancer.gov/research/infrastructure/cancer-centers/find Best wishes.