Individual provider Active NPI

Randall K Colvin, MD

  • Family Medicine Physician
  • Augusta, GA
National Provider Identifier
1124078118
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
60165 Issued in GA
Practice address
1701 Magnolia Way
Ste 101
Augusta, GA 30909
Phone
(706) 922-6600
Fax
(706) 650-0239
NPI assigned
May 11, 2006
Last updated
Apr 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 60165 GA Primary

Addresses

Primary practice location

1701 Magnolia Way
Ste 101
Augusta, GA 30909

Mailing address

PO Box 2510
Evans, GA 30809-2510
Phone (706) 922-8251

Other identifiers 2

IdentifierTypeStateIssuer
60165OtherGALICENSE
T26638MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address randall.colvin.1@26418.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080512000460 GA Practitioner - Family Practice 7618873860 Reassigns benefits to 1 organization
I20091111000482 SC Practitioner - Family Practice 7618873860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Primary Care PCGroup PAC ID 4385633247, 57 clinicians

Practice addresses (Care Compare)

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

1701 Magnolia Way
Suite 101
Augusta, GA 30909-9483
Phone (706) 922-6600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60165GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Primary Care PC Family Medicine CurrentSince Oct 1, 2007 Accepting new patients
Oconee Medical Center Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Au Medical Associates Inc Past Accepting new patients

Locations

1701 Magnolia Way
Ste 101
Augusta, GA 30909
Phone (706) 922-6600

1701 Magnolia Way
Ste 102
Augusta, GA 30909
Phone (706) 922-6699

363 N Belair Rd
Evans, GA 30809
Phone (706) 650-7563

105 E Hugh St
North Augusta, SC 29841
Phone (706) 650-7799

Interoperability endpoints

  • Direct secure messaging: randall.colvin.1@26418.direct.athenahealth.com

Organizations & group practices 5

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1124078118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2510",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308092510",
            "telephone_number": "706-922-8251",
            "fax_number": "706-922-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 MAGNOLIA WAY",
            "address_2": "STE 101",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30909",
            "telephone_number": "706-922-6600",
            "fax_number": "706-650-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLVIN",
        "first_name": "RANDALL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "60165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "60165",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T26638",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "randall.colvin.1@26418.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1701 Magnolia Way",
            "address_2": "Ste 101",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.