DR. RANDALL MATTHEW WILLIS MD
NPI 1053569145
Preventive Medicine - Sports Medicine in Knoxville, TN
NPI Status: Active since September 03, 2008
Contact Information
207 BRECHIN LN
KNOXVILLE, TN
ZIP 37909
Phone: (865) 406-4044
- Individual
- Male
- Preventive Medicine
- Sports Medicine
About RANDALL WILLIS
This page provides the complete NPI Profile along with additional information for Randall Willis, a provider established in Knoxville, Tennessee with a medical specialization in Preventive Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1053569145 assigned on September 2008. The practitioner's primary taxonomy code is 2083S0010X with license number 14380 (TN). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1053569145
- Provider Name
- DR. RANDALL MATTHEW WILLIS MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 207 BRECHIN LN KNOXVILLE, TN 37909
- Location Phone
- (865) 406-4044
- Mailing Address
- 5508 KINGSTON PIKE SUITE 150 KNOXVILLE, TN 37919
- Mailing Phone
- (865) 584-6464
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-03-2008
- Last Update Date
- 09-03-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Preventive Medicine Sports Medicine
- Taxonomy Code
- 2083S0010X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 14380
- License State
- TN
- Taxonomy Description
- A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053569145, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053569145, enumerated as an "individual" on September 03, 2008.
The provider is located at 207 BRECHIN LN KNOXVILLE, TN 37909 and the phone number is (865) 406-4044.
Preventive Medicine with taxonomy code 2083S0010X and a focus in Sports Medicine.
