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: July 19, 2026.

  • Individual
  • Male
  • Nurse Practitioner
  • Family
  • PECOS Enrolled

About RANDALL WILLIAMS

This page provides the complete NPI Profile along with additional information for Randall Williams, a provider established in Longview, Texas with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1194365585 assigned on January 2020. The practitioner's primary taxonomy code is 363LF0000X with license number AP144567 (TX). The provider is registered as an individual and his NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.

NPI
1194365585 Verify this NPI
Provider Name
RANDALL BLAKE WILLIAMS
Gender
Male
Entity Type
Individual
Location Address
3111 MCCANN RD LONGVIEW, TX 75605
Location Phone
(903) 753-1212
Mailing Address
22732 INTERSTATE 20 E WINONA, TX 75792
Mailing Phone
(903) 539-0768
Is Sole Proprietor?
Yes
Enumeration Date
01-14-2020
Last Update Date
01-14-2020
Code Navigator

A nurse practitioner (NP) like Randall Williams is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 3943 Old Jacksonville Rd
    Tyler, TX 75701
    (903) 593-1212

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

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
AP144567
License State
TX

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Medicare Participation & PECOS Enrollment Status

Randall Williams is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 75605 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.92
  • Minimum New Patient Price $54.84
  • Maximum New Patient Price $166.88
  • Average New Patient Copayment $21.23
  • Minimum New Patient Copayment $13.71
  • Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $97.05
  • Minimum Established Patient Price $17.52
  • Maximum Established Patient Price $136.11
  • Average Established Patient Copayment $24.26
  • Minimum Established Patient Copayment $4.38
  • Maximum Established Patient Copayment $34.02

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for RANDALL BLAKE WILLIAMS

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Clinic/Center (Emergency Care)
3111 MCCANN RD
LONGVIEW, TX 75605
Nurse Practitioner (Family)
3111 MCCANN RD
LONGVIEW, TX 75605
Emergency Medicine
3111 MCCANN RD
LONGVIEW, TX 75605
Emergency Medicine
3111 MCCANN RD, EMERGENCY ROOM
LONGVIEW, TX 75605
Nurse Practitioner
3111 MCCANN RD
LONGVIEW, TX 75605

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194365585, enumerated as an "individual" on January 14, 2020.

The provider is located at 3111 MCCANN RD LONGVIEW, TX 75605 and the phone number is (903) 753-1212.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.