Individual provider Active NPI

Gerald Lee Randall, D.O.

  • Psychiatry Physician
  • Largo, FL
National Provider Identifier
1184032740
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS13990 Issued in FL
Practice address
201 14TH St SW
Largo, FL 33770-3133
Phone
(315) 456-8458
NPI assigned
Jul 28, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X
Psychiatry Physician 2084P0800X OS13990 FL Primary

Addresses

Primary practice location

201 14TH St SW
Largo, FL 33770-3133

Mailing address

1100 Clearwater Largo Rd N
Largo, FL 33770-4131
Phone (727) 518-6444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20180308000630 FL Practitioner - Psychiatry 2860753829 Reassigns benefits to 5 organizations
Practice locations: Largo, FL

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ocala Behavioral Health LLCGroup PAC ID 0244303014, 11 clinicians
Bywater Mental Health PLLCGroup PAC ID 7911396023, 5 clinicians

Practice addresses (Care Compare)

3130 SW 27TH Ave
Ocala, FL 34471-4306
Phone (352) 671-3130

4500 140TH Ave N
Suite 101
Clearwater, FL 33762-3848
Phone (727) 371-0079

Hospital & facility affiliations

  • HCA Florida Largo Hospital Hospital, Largo, FL, CCN 100248

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aim Pinellas CurrentSince Jul 23, 2021 Accepting new patients
Florida Behavioral Institute PLC Psychiatry CurrentSince Jun 1, 2018 Accepting new patients
Bywater Mental Health PLLC Psychiatry CurrentSince Mar 9, 2021 Accepting new patients
Onpoint Behavioral Health CurrentSince Jul 1, 2025 Accepting new patients

Locations

4500 140th Ave N
Ste 101
Clearwater, FL 33762
Phone (727) 371-0079

1540 International Pkwy
Ste 2000
Lake Mary, FL 32746
Phone (407) 287-9179

10225 Ulmerton Rd
Ste 3A
Largo, FL 33771
Phone (727) 371-0079

1100 Clearwater Largo Rd N
Largo, FL 33770
Phone (727) 518-6444

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

3206 Cove Bend Dr
Tampa, FL 33613
Phone (813) 400-0375

6943 E Fowler Ave
Temple Terrace, FL 33617
Phone (813) 803-2999

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1184032740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CLEARWATER LARGO RD N",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337704131",
            "telephone_number": "727-518-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 14TH ST SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703133",
            "telephone_number": "315-456-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "GERALD",
        "middle_name": "LEE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-28",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS13990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.