Dr. Willie Thomas Anderson Iii is a Johnson City, Tennessee based neurologist with 31 years of experience in Child Neurology. He completed his graduation from Indiana University School Of Medicine in 1993. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Willie Thomas Anderson Iii is MD0000039211 for Child Neurology in Tennessee. His current practice location is 378 Marketplace Blvd Ste 10c, Johnson City. Patients can reach him at 423-431-4946. Dr. Willie Thomas Anderson Iii is M.D. in Child Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1851448476. Dr. Willie Thomas Anderson Iii specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Complete Profile:
Dr. Willie Thomas Anderson Iii speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Willie Thomas Anderson Iii
Specialization:
Child Neurology
Gender:
Male
Credentials:
M.D.
Experience:
31+ years
Medical School Attended:
Indiana University School Of Medicine
Graduation Year:
1993
Accepts Medicare Assignment:
Yes
Practice Address:
378 Marketplace Blvd Ste 10c, Johnson City, Tennessee, 37604-2361
Phone:
423-431-4946
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6901880467
Enrollment ID:
I20050331000892
NPI Number:
1851448476
NPI Enumeration Date:
04 Jan, 2007
NPI Last Update On:
05 Jun, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Willie Thomas Anderson Iii are as mentioned below.
License Number
Specialization
State
Status
MD0000039211
Child Neurology
Tennessee
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Willie Thomas Anderson Iii is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Blue Ridge Medical Management Corporation (9739099441)
291
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Willie Thomas Anderson Iii such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
MD0000039211
Other
Tennessee
STATE MEDICAL LICENSE
332756
Medicaid
Tennessee
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Willie Thomas Anderson Iii 1021 W Oakland Ave Ste 310, Johnson City, Tennessee
Zip:
37604-2192
Phone Number:
423-302-6565
Patients can reach Dr. Willie Thomas Anderson Iii at 378 Marketplace Blvd Ste 10c, Johnson City, Tennessee or can call to book an appointment on 423-431-4946.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.