Dr. Willie Thomas Anderson Iii
M.D. | Child Neurology | 32+ years Exp
378 Marketplace Blvd Ste 10c, Johnson City
Tennessee, 37604-2361
423-431-4946 Maps & DirectionsDr. Willie Thomas Anderson Iii is a Johnson City, Tennessee based neurologist with 32 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: | 32+ 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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.