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DR. RANDALL MATTHEW WILLIS MD
NPI 1053569145
Preventive Medicine - Sports Medicine in Knoxville, TN

Active since September 03, 2008
207 BRECHIN LN, KNOXVILLE, TN 37909(865) 406-4044 Get Directions Write a Review

NPPES record last updated: September 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Randall Matthew Willis Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RANDALL MATTHEW WILLIS MD (NPI 1053569145) is an individual sports medicine provider in Knoxville, Tennessee, licensed in Tennessee (14380) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1053569145
Entity TypeIndividualMale
Primary Taxonomy2083S0010X
Provider Legal NameDR. RANDALL MATTHEW WILLISCredential: MD
Location Address207 BRECHIN LNKnoxville, TN 37909-2165
Mailing Address5508 Kingston Pike, Suite 150Knoxville, TN 37919-5048 · (865) 584-6464
Phone(865) 406-4044
Sole ProprietorNo
Enumeration DateSeptember 3, 2008
✔ NPI 1053569145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083S0010X
License✔ Licensed in TN · 14380
Definition
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
207 BRECHIN LN, Knoxville, TN 37909
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randall Willis's NPI number?

The NPI number for Randall Willis is 1053569145. It was assigned to this individual provider in the NPPES registry on September 3, 2008.

Where is Randall Willis located?

Randall Willis practices at 207 Brechin Ln, Knoxville, TN 37909. The listed phone number is (865) 406-4044.

What is Randall Willis's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Sports Medicine, with taxonomy code 2083S0010X.

When was this NPI record last updated?

The NPPES record for Randall Willis was last updated on September 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.