Taylor Randolph

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT008854 Issued in GA

Practice address

350 Country Club Dr
Stockbridge, GA 30281-9084

Phone

(334) 421-7366

NPI assigned

Nov 5, 2026

Last updated

Nov 5, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1793836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793836800000",
    "number": "1104725050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 BURNHAM DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302384623",
            "telephone_number": "334-421-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 COUNTRY CLUB DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819084",
            "telephone_number": "334-421-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "TAYLOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-11-05",
        "last_updated": "2026-11-05",
        "certification_date": "2026-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT008854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saneal Rajanahally
• Laxman Ramani, M.D.
• Jessica Ramey
• Korisha Ramjohn
• Hayden Randolph, PA
• Shobha C Rao, M.D.
• Liliana Rascon, CRNA
• Praveen Rastogi, MD, FCCP, ABSM
• Kara Ratcliff
• Marissa Marie Galan Ravan, NP

• Occupational Therapist in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.