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RANDALL BLAKE WILLIAMS
NPI 1194365585
Nurse Practitioner - Family in Longview, TX

Active since January 14, 2020PECOS Enrolled
3111 MCCANN RD, LONGVIEW, TX 75605(903) 753-1212 Get Directions Write a Review

NPPES record last updated: January 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Randall Blake Williams NPPES

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

RANDALL BLAKE WILLIAMS (NPI 1194365585) is an individual family provider in Longview, Texas, licensed in Texas (AP144567) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tyler.

NPPES Registry Identity

NPI1194365585
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRANDALL BLAKE WILLIAMS
Location Address3111 MCCANN RDLongview, TX 75605-7842
Mailing Address22732 Interstate 20 EWinona, TX 75792-6906 · (903) 539-0768
Phone(903) 753-1212
Sole ProprietorYes
Enumeration DateJanuary 14, 2020
✔ NPI 1194365585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP144567
3111 MCCANN RD, Longview, TX 75605
Open in Google Maps ↗

Secondary Practice Location 1

Location 13943 Old Jacksonville RdTyler, TX 75701-8519 · Phone (903) 593-1212

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randall Blake Williams is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIMOTHY FRANK ARCHER MD
Emergency Medicine
3111 MCCANN RD, EMERGENCY ROOM
LONGVIEW, TX 75605
Gregg County (903) 753-1212
KRISTIN BELT HOOPER APRN-CNP
Nurse Practitioner (Family)
3111 MCCANN RD
LONGVIEW, TX 75605
Gregg County (903) 753-1212
LONGVIEW ER OPERATIONS LLC
Clinic/Center (Emergency Care)
3111 MCCANN RD
LONGVIEW, TX 75605
Gregg County (832) 212-3919
DR. MATTHEW T VANDER WOUDE D.O.
Emergency Medicine
3111 MCCANN RD
LONGVIEW, TX 75605
Gregg County (903) 753-1212
MS. STACEY D ERVIN FNP
Nurse Practitioner
3111 MCCANN RD
LONGVIEW, TX 75605
Gregg County (903) 753-1212

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 Williams's NPI number?

The NPI number for Randall Williams is 1194365585. It was assigned to this individual provider in the NPPES registry on January 14, 2020.

Where is Randall Williams located?

Randall Williams practices at 3111 Mccann Rd, Longview, TX 75605. The listed phone number is (903) 753-1212.

What is Randall Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Randall Williams enrolled in Medicare?

Yes. Randall Williams is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randall Williams was last updated on January 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.