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Contact Information

JOHN P WILLIAMS IV, PA-C
200 FORT SANDERS W BLVD
BUILDING 1, SUITE 102
KNOXVILLE, TN37922
 Phone: 865-531-5350
 Fax: 865-374-2125
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JOHN P WILLIAMS IV · (Male)

NPI Number 1366009169
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/28/2019
Last updated 11/19/2025 - About 7 months ago
Sole proprietor 1 Yes
Identifiers
  • TN Medicaid Q053289
  • Other 1162330 NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS
Hospital affiliation(s)
  • FORT SANDERS REGIONAL MEDICAL CENTER - (Acute Care)
    1901 W CLINCH AVE
    KNOXVILLE, TN 37916
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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