DR. WILLIE THOMAS ANDERSON III M.D.
NPI 1851448476
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Johnson City, TN
About Dr. Willie Thomas Anderson Iii M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. WILLIE THOMAS ANDERSON III M.D. (NPI 1851448476) is an individual neurology with special qualifications in child neurology provider in Johnson City, Tennessee, licensed in Tennessee (MD0000039211) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Indian Path Community Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Willie Thomas Anderson Iii M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Willie Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Johnson City, TN 37604
- Reassigned Medicare billing, Tennessee enrollment
- 496 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Indian Path Community Hospital
Acute Care Hospitals · Kingsport, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37604 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
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 Willie Anderson's NPI number?
The NPI number for Willie Anderson is 1851448476. It was assigned to this individual provider in the NPPES registry on January 4, 2007.
Where is Willie Anderson located?
Willie Anderson practices at 378 Marketplace Blvd Ste 10C, Johnson City, TN 37604. The listed phone number is (423) 431-4946.
What is Willie Anderson's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.
Is Willie Anderson enrolled in Medicare?
Yes. Willie Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Willie Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Willie Anderson reassigns Medicare benefits to Blue Ridge Medical Management Corporation (Johnson City, TN). The 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 Willie Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Willie Anderson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Willie Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Willie Anderson affiliated with any hospitals?
According to CMS data, Willie Anderson is affiliated with Indian Path Community Hospital.
When was this NPI record last updated?
The NPPES record for Willie Anderson was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Willie Thomas Anderson III, M.D. · NPI 1851448476
Neurology with Special Qualifications in Child Neurology physician in Johnson City, Tennessee. Individual provider, active in the CMS NPPES registry since January 4, 2007.
## Identity
- **NPI:** 1851448476 (Entity type: Individual)
- **Enumerated:** January 4, 2007
- **Primary specialty:** Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology · taxonomy 2084N0402X
- **State license:** MD0000039211 (Tennessee)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 378 MARKETPLACE BLVD STE 10C, Johnson City, TN 37604-2361
- **Phone:** (423) 431-4946
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Blue Ridge Medical Management Corporation (NPI 1942520267, Johnson City, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University School Of Medicine, class of 1993
## Record status
- **NPPES last updated:** June 5, 2024
- **Other identifiers:** Other MD0000039211 (TN); Medicaid 332756 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1851448476) · Data from the CMS NPPES public registry.