MR. RANDALL WILLIAMS (NPI# 1013380013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013380013 |
| Entity Type | Individual |
| Full Name | MR. RANDALL WILLIAMS |
| Practice Address |
8060 Wolf River Blvd Germantown TN 38138-1727 |
| Practice Telephone | 9012711000 |
| Practice Fax Number | 9012714187 |
| Mailing Telephone | 9012711000 |
| Mailing Fax Number | 9012714187 |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2884 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | PA LICENSURE | 2884 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245769728 | Randall R Williams | Physical Therapist | 6913 Camp Bowie Blvd Suite 141, Fort Worth, TX 76116 | 2017-06-08 |
| 1669521605 | Randall Williams | Chiropractor | 3000 Ivanrest Ave Sw, Suite D, Grandville, MI 49418-2943 | 2007-01-09 |
| 1194365585 | Randall Blake Williams | Nurse Practitioner | 3111 Mccann Rd, Longview, TX 75605-7842 | 2020-01-14 |
| 1528505864 | Randall Williams | Emergency Medical Technician, Basic | Madigan Army Medical Ctr, 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-01-25 |
| 1649653171 | Randall Williams | Community Health Worker | 1825 Gilmore Ave, Lakeland, FL 33805-3017 | 2015-07-01 |
| 1700950516 | Randall Edward Williams | Dentist | 800 Wall St, Suite C, Valparaiso, IN 46383-2564 | 2006-11-20 |
| 1518076660 | Randall P Williams | Specialist | 146 Medical Park Rd Ste 108, Mooresville, NC 28117-8529 | 2006-08-30 |
| 1538170238 | Randall Williams | Pathology | 4021 Avenue B, Scottsbluff, NE 69361-4602 | 2006-08-10 |
| 1245261114 | Randall S Williams | General Practice | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2006-07-06 |
| 1720030646 | Randall Earl Williams | Internal Medicine | 27750 W Highway 22, Suite 240, Barrington, IL 60010-2379 | 2006-05-17 |
| Street Address |
8060 WOLF RIVER BLVD |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-1727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558367490 | Richard Joseph Gordon | Internal Medicine | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2005-06-24 |
| 1487251617 | Kristina Marie Whitten | Nurse Practitioner | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2020-10-01 |
| 1619439601 | Lauren K Rainbolt | Nurse Practitioner | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2019-04-01 |
| 1891254975 | Ailyssin C Dacus | Nurse Practitioner | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2019-03-18 |
| 1881159903 | Lindsey Tartera | Nurse Practitioner | 8060 Wolf River Blvd, Germantown, TN 38138 | 2019-02-02 |
| 1407364318 | Kristen Joy Page | Nurse Practitioner | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2018-01-12 |
| 1669991998 | Melissa Downs Reid | Nurse Practitioner | 8060 Wolf River Blvd, Germantown, TN 38138 | 2017-09-19 |
| 1407374002 | Charles Blaine Williams | Nurse Practitioner | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2017-09-03 |
| 1851817001 | Elizabeth Diane Zacher | Nurse Practitioner | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2017-08-19 |
| 1285174342 | Cameron Michael Crutchfield | Nurse Practitioner | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2017-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447714704 | Erin Benefiel | Physician Assistant | 8000 Wolf River Blvd Ste 200, Germantown, TN 38138-1755 | 2019-01-30 |
| 1164996245 | Bradley Bailey | Physician Assistant | 19851 Observation Dr Ste 250, Germantown, MD 20876-4151 | 2019-01-11 |
| 1922579150 | Utkala Segu | Physician Assistant | 18629 Autumn Mist Dr, Germantown, MD 20874-2180 | 2018-12-16 |
| 1508382615 | Hilary Andrews | Physician Assistant | 7148 Donnington Dr, Germantown, TN 38138-4614 | 2017-08-21 |
| 1093168189 | Melissa Marie Whitehouse | Physician Assistant | W199n11298 Rosewood Ct, Germantown, WI 53022-2935 | 2016-07-13 |
| 1215205828 | Ashley Lawrence | Physician Assistant | 7705 Poplar Ave Ste 310b, Germantown, TN 38138-3930 | 2011-12-09 |
| 1699907758 | Xavier Dominique Lennon | Physician Assistant | 20680 Seneca Meadows Pkwy Ste 200, Germantown, MD 20876-7022 | 2009-08-21 |
| 1093925950 | Brooke Amanda Helms | Physician Assistant | 9067 Poplar Ave, Suite 109, Germantown, TN 38138-7851 | 2007-05-22 |
| 1194844183 | Katherine Mary Gresham | Physician Assistant | 7485 Poplar Pike, Germantown, TN 38138-5934 | 2007-03-29 |
| 1477551208 | Tammy L Welch | Physician Assistant | 20410 Observation Dr Ste 100, Germantown, MD 20876-6419 | 2005-07-14 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
Please comment or provide details below to improve the information on MR. RANDALL WILLIAMS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.