Randolph Garrett Tolley, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1066222 Issued in TX

Practice address

14254 S Padre Island Dr
Corpus Christi, TX 78418-6277

Phone

(615) 894-0683

NPI assigned

May 8, 2023

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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Access Urgent Care-Kingsville LLCGroup PAC ID 2567799729, 7 clinicians

Access Total Care, LLCGroup PAC ID 8224399092, 7 clinicians

Eric Ping Chiang Rheumatology Consultant Inc.Group PAC ID 3476819590, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EHFDBD/Endpoint/EHFDBD

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.

• Access Total Care, LLC

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1063928273
  Medicare reassignment Care Compare group NPD
• Eric Ping Chiang Rheumatology Consultant, Inc.

  • Rheumatology Physician
  • Corpus Christi, TX
  • NPI 1558870048
  Medicare reassignment Care Compare group NPD
• Access Urgent Care-Kingsville LLC

  • Urgent Care Clinic/Center
  • Kingsville, TX
  • NPI 1679052666
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1124718796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6706 SAMBA DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784146453",
            "telephone_number": "910-207-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14254 S PADRE ISLAND DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784186277",
            "telephone_number": "615-894-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLEY",
        "first_name": "RANDOLPH",
        "middle_name": "GARRETT",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1066222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sebastian Tobia Gonzalez, MD
• Janice F Todd, RPH
• Mary Ann Todd, CRNA
• Zulma I Toledo, M.D.
• Hugo Rodriguez Tolentino, M.D.
• Tom W Dorrell Jr MD PA
• Alainya Vollmering Tomanec, M.D.
• Dawna Maria Tomao, PT
• Cierra Deshay Tomlinson
• Tomorrows Voice, LLC

• Family Nurse Practitioner in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.