Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Randall Matthew Willis, MD

Individual provider Sports Medicine (Preventive Medicine) Physician · NPI 1053569145

Dr. Randall Matthew Willis, MD is a Sports Medicine (Preventive Medicine) Physician in Knoxville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2008.

Licensed in
TN
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

207 Brechin Ln
Knoxville, TN 37909-2165
Phone: (865) 406-4044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Preventive Medicine) Physician (primary) Taxonomy 2083S0010X · Licence 14380 (TN)

Record details

NPI number1053569145
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 3, 2008
Last updated in NPPESSeptember 3, 2008