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DR. WILLIE THOMAS ANDERSON III M.D.
NPI 1851448476
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Johnson City, TN

Active since January 04, 2007PECOS EnrolledAccepts Medicare Assignment
378 MARKETPLACE BLVD STE 10C, JOHNSON CITY, TN 37604(423) 431-4946 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2024, May 15, 2024, Mar 7, 2023 (3 updates tracked since 2023).

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, maintains 2 additional practice locations, and is a graduate of Indiana University School Of Medicine (1993).

NPPES Registry Identity

NPI1851448476
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameDR. WILLIE THOMAS ANDERSON IIICredential: M.D.
Location Address378 MARKETPLACE BLVD STE 10CJohnson City, TN 37604-2361
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 302-6565
Phone(423) 431-4946
Sole ProprietorYes
Medical School CMSIndiana University School Of MedicineGraduated 1993
Enumeration DateJanuary 4, 2007
Last NPPES UpdateJune 5, 20243 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ NPI 1851448476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in TN · MD0000039211
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
378 MARKETPLACE BLVD STE 10C, Johnson City, TN 37604
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Secondary Practice Locations 2

Location 1125 Cool Springs Blvd. Ste #210Franklin, TN 37067 · Phone (615) 472-7190 · Fax (615) 472-7189
Location 2408 N State Of Franklin Rd Ste 31CJohnson City, TN 37604-6088 · Phone (423) 431-4946

Other Identifiers 2

OtherMD0000039211TN · State Medical License
Medicaid332756TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID6901880467
PECOS Enrollment IDI20050331000892
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 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.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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

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

MRS. WENDY CHARTIER FNP
Nurse Practitioner
378 MARKETPLACE BLVD STE 10C
JOHNSON CITY, TN 37604
Washington County (423) 431-4946

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.

What insurance does Willie Anderson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina 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.

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.