M. BARRY RANDALL M.D. NPI 1124002175

NPI Information

NPI: 1124002175
Provider Name: M. BARRY RANDALL, M.D.
Classification: Pathology - 207ZD0900X
Specialization: Dermatopathology
Entity Type: Individual
PECOS Registration: Yes
Address: 930 MADISON AVE
SUITE 890
MEMPHIS, TN
ZIP 38103
Phone: (901) 866-8834

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NPI Details

M. Barry Randall, M.D. is a dermatopathology pathology in Memphis, TN with 39 years of experience. The provider is a dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. M. Barry Randall, M.D. NPI is 1124002175. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduation Year:1986

The provider's business location address is:

930 MADISON AVE
SUITE 890
MEMPHIS, TN
ZIP 38103-410
Phone: (901) 866-8834
Fax: (901) 302-2834

The NPI 1124002175 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 enumeration date for this NPI number is 12/2/2005 and was last updated on 2/25/2025.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology	29321	TENNESSEE	No
2	207ZD0900X	Pathology	Dermatopathology	29321	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	133395001	MEDICAID	ARKANSAS
2	0121423	MEDICAID	MISSISSIPPI
3	1532078	MEDICAID	TENNESSEE

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: 3/30/2025

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