WENDELL LEWIS RANDALL MD NPI 1902856065

NPI Information

NPI: 1902856065
Provider Name: WENDELL LEWIS RANDALL, MD
Classification: Pathology - 207ZP0102X
Specialization: Anatomic Pathology & Clinical Pathology
Entity Type: Individual
Address: 956 N MAIN ST
MOUNT AIRY, NC
ZIP 27030
Phone: (336) 648-8550

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NPI Details

Wendell Lewis Randall, MD is an anatomic pathology and clinical pathology pathology in Mount Airy, NC. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. Wendell Lewis Randall, MD NPI is 1902856065. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

956 N MAIN ST
MOUNT AIRY, NC
ZIP 27030-747
Phone: (336) 648-8550
Fax: (336) 648-8551

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.

Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
Testing for presence of drug, read by direct observation (HCPCS:80305)
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (HCPCS:G0483)

The enumeration date for this NPI number is 5/11/2006 and was last updated on 5/17/2023.

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	36016	NORTH CAROLINA	Yes
2	208D00000X	General Practice		36016	NORTH CAROLINA	No

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	Other Provider Identifier Issuer
1	VVF492B944	OTHER	VIRGINIA	MEDICARE NUMBER
2	70121	OTHER	NORTH CAROLINA	BCBS INDIVIDUAL
3	89070121	MEDICAID	NORTH CAROLINA
4	36016	OTHER	NORTH CAROLINA	NORTH CAROLINA MEDICAL BOARD MEDICAL LICENSE

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: 11/21/2025

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