Randall Jay Slovis, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

025392 Issued in GA

Practice address

45 Asheworth CT NW
Atlanta, GA 30327-1532

Phone

(404) 816-5305

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in GA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Randall J. Slovis, M.D. P.C.

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1760592513
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245247188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 ASHEWORTH CT NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271532",
            "telephone_number": "404-816-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 ASHEWORTH CT NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271532",
            "telephone_number": "404-816-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOVIS",
        "first_name": "RANDALL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "025392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James D. Sloderbeck, M.D.
• Rachel Berry Slone, DPT
• Zachary Ian Slone
• Robert K Slosberg, DDS
• Shira Tova Slovin, DPT
• SM Supply Inc
• Small Smiles of Atlanta, Inc
• Aaron Small, PT
• Christina Small, PA-C
• Elizabeth Marshburn Small, P.A.

• Internal Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.