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Active NPI 1194365585 Individual Practitioner Male Practitioner

Randall Blake Williams

Nurse Practitioner - Family • Longview, TX

Professional Overview & Biography Verified Profile Summary

Randall Williams is a registered healthcare professional specializing in Nurse Practitioner - Family in Longview, TX. Practice services are available at 3111 MCCANN RD under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with low level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3111 Mccann Rd

Longview, TX 756057842

Telephone 9037531212
Associated Practice Facility / Clinic
🏢 Longview Er Operations Llc Facility NPI 1366815144

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Longview, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.2 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
146 Specialists

Practicing in Longview, TX (21454 Statewide)

Telehealth Adoption Rate
15.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
91.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99283 Emergency department visit with low level of medical decision making
17 17 $679.00 $59.58
99285 Emergency department visit for life threatening or functioning severity
13 13 $1694.00 $147.33
99284 Emergency department visit with moderate level of medical decision making
13 13 $1154.00 $101.24

Medical Specialties & State Licenses

CMS Verified: 2020-01-14
Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License TX AP144567

Definition to come...

Secondary Practice Locations

3943 Old Jacksonville Rd

Tyler, TX 757018519

Phone: 9035931212

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Timothy Archer , MD

Emergency Medicine

NPI 1205814993

Doctor of Medicine (M.D.)

Kristin Hooper , APRN-CNP

Nurse Practitioner - Family

NPI 1255940235

Advanced Practice Registered Nurse - Certified Nurse Practitioner

NPI 1376546424

Doctor of Osteopathic Medicine (D.O.)

Stacey Ervin , FNP

Nurse Practitioner

NPI 1487697538

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 14, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location January 14, 2020

Registered at 3111 MCCANN RD, LONGVIEW, TX 756057842 (Tel: 9037531212)

📍
Updated Business Mailing Address January 14, 2020

Registered at 22732 INTERSTATE 20 E, WINONA, TX 757926906 (Tel: 9035390768)

👤
Provider Name / Credentials Updated January 14, 2020

Recorded as RANDALL WILLIAMS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2020

Nurse Practitioner (License #AP144567 in TX)

🟢
Initial NPI Registration & Enumeration January 14, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194365585
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 14, 2020
Last Update: January 14, 2020
Sole Proprietor: Yes

Mailing Address

22732 Interstate 20 E

Winona, TX 757926906

Phone: 9035390768

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.