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MR. DERRICK AARON RANDOLPH RN NPI 1760882690


NPI Information

NPI: 1760882690
Provider Name: MR. DERRICK AARON RANDOLPH, RN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1207 7TH ST S.E.
DECATUR/MORGAN HOSPITAL - PARKWAY CAMPUS
DECATUR, GA
ZIP 35601
Phone: (256) 341-2000
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MR. Derrick Aaron Randolph, RN is a family nurse practitioner in Decatur, GA with 10 years of experience. MR. Derrick Aaron Randolph, RN NPI is 1760882690. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

1207 7TH ST S.E.
DECATUR/MORGAN HOSPITAL - PARKWAY CAMPUS
DECATUR, GA
ZIP 35601
Phone: (256) 341-2000

The NPI 1760882690 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)

The enumeration date for this NPI number is 8/28/2014 and was last updated on 1/27/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered Nurse1-090988ALABAMANo
2390200000XStudent in an Organized Health Care Education/Training Program1-090988ALABAMANo
3363LF0000XNurse PractitionerFamily1-090988ALABAMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.