Individual provider Active NPI

William Randolph Fly, MD

  • Orthopaedic Surgery Physician
  • Morristown, TN
National Provider Identifier
1063473346
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
15794 Issued in TN
Practice address
381 Kuhn LN
Morristown, TN 37813-1172
Phone
(865) 475-4484
Fax
(865) 475-1124
NPI assigned
Mar 28, 2006
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 15794 TN Primary

Addresses

Primary practice location

381 Kuhn LN
Morristown, TN 37813-1172

Mailing address

8320 E Walker Springs LN Ste 200
Knoxville, TN 37923-3120
Phone (865) 769-4500

Other identifiers 6

IdentifierTypeStateIssuer
200046272OtherGARAILROAD MEDICARE
7962437OtherTNAETNA
2577295OtherCIGNA
P01315239OtherTNRAILROAD MEDICARE
6004897OtherTNBLUECROSS BLUESHIELD
Q001842MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928001208 TN Practitioner - Orthopedic Surgery 5496871345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians
Orthotennessee PCGroup PAC ID 3476453572, 152 clinicians

Practice addresses (Care Compare)

3106 Circle Dr
White Pine, TN 37890-3306
Phone (865) 674-7454

3614 W Andrew Johnson Hwy
Morristown, TN 37814-3602
Phone (423) 586-9495

381 Kuhn LN
Morristown, TN 37813-1172
Phone (865) 485-4484

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.88 of 100Reported as group
Quality
81.99
Promoting interoperability
100
Improvement activities
40
Cost
70.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)11
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15794TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthotennessee, PC Orthopaedic Surgery CurrentSince Jan 1, 2014 Accepting new patients
Orthotennessee, PC Orthopaedic Surgery CurrentSince Jan 1, 2014 Accepting new patients
Orthotennessee, PC Current Accepting new patients
Hovis Orthopaedic Clinic PC Orthopaedic Surgery Past Accepting new patients
Orthotennessee, PC Orthopaedic Surgery Past Accepting new patients
Orthotennessee, PC Past Accepting new patients
Orthotennessee, PC Past Accepting new patients
Jackson Clinic PA Past Accepting new patients
Orthotennessee Past Accepting new patients

Locations

1855 Tanner Way
Ste 110
Harriman, TN 37748
Phone (865) 376-2775

120 Hospital Dr
Ste 120
Jefferson City, TN 37760
Phone (865) 475-4484

120 Hospital Dr
Ste 250
Jefferson City, TN 37760
Phone (865) 471-2644

1128 E Weisgarber Rd
Knoxville, TN 37909
Phone (865) 558-4428

11440 Parkside Dr
Ste 110
Knoxville, TN 37934
Phone (865) 218-9300

1422 Old Weisgarber Rd
Knoxville, TN 37909
Phone (865) 558-4480

1551 Lake Loudon Blvd
Knoxville, TN 37916
Phone (865) 475-4484

1600 Accelerator Way
Ste 200
Knoxville, TN 37920
Phone (865) 546-2663

260 Fort Sanders West Blvd
Knoxville, TN 37922
Phone (865) 769-4500

8320 E Walker Springs Ln
Ste 200
Knoxville, TN 37923

827 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (423) 984-0900

381 Kuhn Ln
Morristown, TN 37813
Phone (865) 475-4484

90 Vermont Ave
Ste 300
Oak Ridge, TN 37830
Phone (865) 481-2541

7750 Dannaher Dr
Powell, TN 37849
Phone (865) 512-1140

1130 Middle Creek Rd
Ste 270
Sevierville, TN 37862
Phone (865) 365-3074

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: william.fly.p1@direct.orthotn.nextgenshare.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1063473346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 E WALKER SPRINGS LN STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233120",
            "telephone_number": "865-769-4500",
            "fax_number": "865-769-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 KUHN LN",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378131172",
            "telephone_number": "865-475-4484",
            "fax_number": "865-475-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLY",
        "first_name": "WILLIAM",
        "middle_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "15794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200046272",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7962437",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2577295",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01315239",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "6004897",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q001842",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.