Randall Provost, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

32835 Issued in NC

Practice address

98 Doctors Dr
Suite 200
Sylva, NC 28779-4501

Phone

(828) 586-8971

Fax

(828) 586-4083

NPI assigned

Apr 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• DLP Western Carolina Physician Practices LLC

  • Internal Medicine Physician
  • Sylva, NC
  • NPI 1609281641
  Medicare reassignment NPD
• Sylva Medical Center PA

  • Family Medicine Physician
  • Sylva, NC
  • NPI 1003916131

  Internal Medicine

  NPD (past) Authorized official
• DLP Western Carolina Physician Practices LLC

  • Diagnostic Radiology Physician
  • Clyde, NC
  • NPI 1932925062
  NPD

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1003873456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 DOCTORS DR",
            "address_2": "STE 200",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287794501",
            "telephone_number": "828-586-8971",
            "fax_number": "828-586-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 DOCTORS DR",
            "address_2": "SUITE 200",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287794501",
            "telephone_number": "828-586-8971",
            "fax_number": "828-586-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVOST",
        "first_name": "RANDALL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "32835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7969355",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Nicole Price
• Alexandra Priest, CRNA
• Gabriell Jonee Pringle, LCMHC
• PRN Nursing Services
• Procor Incorporated
• Mary Janice Puckett, PAC
• Steven Wesley Queen, MD
• Bryan Quillen
• David Ramsey III, MD
• Simbiso Ranga, M.D.

• Internal Medicine Physician in Sylva, NC
• Providers in Sylva, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.