Dr Randall Matthew Willis, MD - Preventive Medicine in Knoxville, TN

Dr Randall Matthew Willis, MD is a Preventive Medicine - Sports Medicine physician based in Knoxville, Tennessee. Dr Randall Matthew Willis is licensed to practice in Tennessee (license number 14380) and his current practice location is 207 Brechin Ln, Knoxville, Tennessee. He can be reached at his office (for appointments etc.) via phone at (865) 406-4044.

NPI number for Dr Randall Matthew Willis is 1053569145 and his current mailing address is 5508 Kingston Pike, Suite 150, Knoxville, Tennessee. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053569145.

Contact Information

Dr Randall Matthew Willis, MD
207 Brechin Ln,
Knoxville, TN 37909-2165
(865) 406-4044
Not Available

Map and Direction




Physician's Profile

Full NameDr Randall Matthew Willis
GenderMale
SpecialityPreventive Medicine - Sports Medicine
Location207 Brechin Ln, Knoxville, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053569145
  • Provider Enumeration Date: 09/03/2008
  • Last Update Date: 09/03/2008

Medical Identifiers

Medical identifiers for Dr Randall Matthew Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053569145NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083S0010XPreventive Medicine - Sports Medicine 14380 (Tennessee)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Randall Matthew Willis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Randall Matthew Willis, MD
5508 Kingston Pike, Suite 150,
Knoxville, TN 37919-5048

Ph: (865) 584-6464
Dr Randall Matthew Willis, MD
207 Brechin Ln,
Knoxville, TN 37909-2165

Ph: (865) 406-4044

Reviews and Comments


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