Individual provider Active NPI

Randall Blake Bible, NP

  • Family Nurse Practitioner
  • Greeneville, TN
National Provider Identifier
1215210943
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN16106 Issued in TN
Practice address
1021 Coolidge St
Suite 3
Greeneville, TN 37743-4672
Phone
(423) 636-0702
Fax
(423) 636-0709
NPI assigned
Sep 20, 2011
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN16106 TN
Family Nurse Practitioner 363LF0000X APN16106 TN Primary

Addresses

Primary practice location

1021 Coolidge St
Suite 3
Greeneville, TN 37743-4672

Mailing address

1021 Coolidge St
Suite 3
Greeneville, TN 37743-4672
Phone (423) 636-0702

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111102000723 TN Practitioner - Nurse Practitioner 2264605591 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

435 2ND St
Newport, TN 37821-3703
Phone (423) 625-2200

756 Cosby Hwy
Newport, TN 37821-3455
Phone (423) 237-6546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN16106TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC Nurse Practitioner CurrentSince Aug 1, 2022 Accepting new patients
Emergency Coverage Services, PC Nurse Practitioner CurrentSince Mar 1, 2019 Accepting new patients
Tri-Cities Regional Emergency Physicians, PC Nurse Practitioner CurrentSince Jun 25, 2021 Accepting new patients
Southeastern Physician Services PC Nurse Practitioner CurrentSince Aug 1, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 20, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 20, 2023 Accepting new patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Jul 27, 2024 Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince Feb 1, 2015 Accepting new patients
Takoma Regional Hospital Dba Takoma Outpatient Behavioral Services Past Accepting new patients

Locations

1501 W Elk Ave
Elizabethton, TN 37643
Phone (423) 542-1300

401 Takoma Ave
Greeneville, TN 37743
Phone (423) 639-3151

110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

1900 N Winston Rd
Ste 300
Knoxville, TN 37919
Phone (865) 271-6000

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

923 E Central Ave
La Follette, TN 37766
Phone (423) 907-1200

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

756 Cosby Hwy
Newport, TN 37821
Phone (423) 237-6546

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1215210943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 COOLIDGE ST",
            "address_2": "SUITE 3",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377434672",
            "telephone_number": "423-636-0702",
            "fax_number": "423-636-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 COOLIDGE ST",
            "address_2": "SUITE 3",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377434672",
            "telephone_number": "423-636-0702",
            "fax_number": "423-636-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBLE",
        "first_name": "RANDALL",
        "middle_name": "BLAKE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-20",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN16106",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN16106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.