RANDALL BLAKE WILLIAMS
NPI 1194365585
Nurse Practitioner - Family in Longview, TX
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
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Randall Blake Williams is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Randall Williams reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Longview, TX 75601
- Reassigned Medicare billing, Texas enrollment
- 154 clinicians in this Medicare group
Tyler, TX 75702
- Reassigned Medicare billing, Texas enrollment
- 2,745 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Randall Williams's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randall Williams reassigns Medicare benefits to 2 organizations: Acute Care Specialists (Longview, TX) and Christus Trinity Clinic Texas (Tyler, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Randall Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Randall Blake Williams · NPI 1194365585
Family physician in Longview, Texas. Individual provider, active in the CMS NPPES registry since January 14, 2020.
## Identity
- **NPI:** 1194365585 (Entity type: Individual)
- **Enumerated:** January 14, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP144567 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3111 MCCANN RD, Longview, TX 75605-7842
- **Phone:** (903) 753-1212
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Acute Care Specialists (NPI 1740655273, Longview, TX); Christus Trinity Clinic Texas (NPI 1285684225, Tyler, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 14, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1194365585) · Data from the CMS NPPES public registry.