Randy Lentz, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

050500 Issued in GA

Practice address

182 Sunset Blvd
Jesup, GA 31545-0401

Phone

(912) 385-2102

Fax

(912) 385-2180

NPI assigned

Jun 23, 2005

Last updated

Aug 31, 2023By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Family Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lentz Urgent Care & Family Med, Inc

  • Family Medicine Physician
  • Jesup, GA
  • NPI 1003449968
  Medicare reassignment NPD Authorized official
• Lentz Urgent Care & Family Med, Inc

  • Family Medicine Physician
  • Jesup, GA
  • NPI 1265836472
  Authorized official Same address or phone
• Randy Lentz MD

  • Clinic/Center
  • Jesup, GA
  • NPI 1881097483
  Authorized official Same address or phone

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1205832227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 SUNSET BLVD",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450401",
            "telephone_number": "912-385-2102",
            "fax_number": "912-385-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 SUNSET BLVD",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450401",
            "telephone_number": "912-385-2102",
            "fax_number": "912-385-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENTZ",
        "first_name": "RANDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "050500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000920323A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Reid Lawson, PT,DPT
• Addison Lee
• Grace Caryn Prince Lee, FNP-C
• Lentz Urgent Care & Family Med, Inc
• Lentz Urgent Care & Family Med, Inc
• Nicole Levitt
• Amber Lewis, PTA
• Beth A Lewis, FNP-C
• Robin Angela Lewis
• Amber Libby, CCC-SLP

• Family Medicine Physician in Jesup, GA
• Providers in Jesup, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.