MR. DERRICK AARON RANDOLPH RN NPI 1760882690

NPI Details

MR. Derrick Aaron Randolph, RN is a family nurse practitioner in Decatur, GA with 12 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 of drug or substance under skin or into muscle (HCPCS:96372)
• Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
• New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
• Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
• Injection, orphenadrine citrate, up to 60 mg (HCPCS:J2360)

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: