James Randolph

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

21160 Issued in NC

Practice address

902 Colonial Ave
Greenville, NC 27834-1825

Phone

(252) 916-3173

NPI assigned

Dec 3, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dreamprovidercareservicesinc.jameshrandolph@158148.advancedmd-direct.com

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.

• Harold Randolph

  • Community/Behavioral Health Agency
  • Greenville, NC
  • NPI 1891186292
  NPD (past) Authorized official

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1194190074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 COLONIAL AVE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278341825",
            "telephone_number": "252-916-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 COLONIAL AVE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278341825",
            "telephone_number": "252-916-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "21160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ravina Ramnani, MD
• Saloni Sanjeev Rampal, MD
• Verai Mardai Ramsammy, M.D
• Keith Maxwell Ramsey, MD
• Lahiru Kalum Ranasinghe, MD
• Balaji Rangarathnam, PH.D.
• Jennifer Rangelova, ATC
• Terry Ransom-Flint, PHD
• Neeraja Rao, PAC
• Sanjana Shashikant Rao

• Addiction (Substance Use Disorder) Counselor in Greenville, NC
• Providers in Greenville, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.