Individual provider Active NPI

Randolph M Richards, M.D.

  • Otolaryngology Physician
  • Clarksville, TN
National Provider Identifier
1174637946
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
21029 Issued in TN
Practice address
787 Weatherly Dr
Suite 200
Clarksville, TN 37043-8949
Phone
(931) 647-1255
Fax
(931) 647-2399
NPI assigned
Aug 18, 2006
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 21029 TN Primary

Addresses

Primary practice location

787 Weatherly Dr
Suite 200
Clarksville, TN 37043-8949

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

Other practice location 1

200 NorthCrest Dr. Ste 221B
Springfield, TN 37172
Phone (931) 647-1255

Other identifiers 4

IdentifierTypeStateIssuer
6039655OtherBLUECROSS
Q012480MedicaidTN
621860059OtherTNTRICARE
62186005901OtherTNAMERICHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20070212000353 TN Practitioner - Otolaryngology 1658387121 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Tennessee, HSC, College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

787 Weatherly Dr
Suite 200
Clarksville, TN 37043-8950
Phone (931) 647-1255

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Apr 16, 2017 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Apr 16, 2017 Accepting new patients
Desoto Ear, Nose &Throat Otolaryngology PastSince Jun 14, 2020 Accepting new patients
Mid-South Ear, Nose, and Throat, P.C. Otolaryngology Past Accepting new patients

Locations

787 Weatherly Dr
Ste 200
Clarksville, TN 37043
Phone (800) 668-9410

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

1272 Garrison Dr
Murfreesboro, TN 37129
Phone (615) 867-7925

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

300 Hospital Cir
Ste 203
Paris, TN 38242
Phone (731) 540-4522

200 Northcrest Dr
Ste 221B
Springfield, TN 37172
Phone (931) 647-1255

Interoperability endpoints

  • Direct secure messaging: randolph.richards@ahp.eclinicaldirectplus.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1174637946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018",
            "fax_number": "615-851-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 WEATHERLY DR",
            "address_2": "SUITE 200",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438949",
            "telephone_number": "931-647-1255",
            "fax_number": "931-647-2399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 NorthCrest Dr. Ste 221B",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "TN",
            "postal_code": "37172",
            "country_code": "US",
            "telephone_number": "931-647-1255",
            "fax_number": "931-647-2399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "RANDOLPH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "21029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "6039655",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q012480",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "621860059",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "62186005901",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.