Active NPI
Randolph Hospital Inc.
- Physician Assistant
- Asheboro, NC
National Provider Identifier
1255465944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Legal business name
- RANDOLPH HOSPITAL INC.
- Practice address
- 364 White Oak St
Asheboro, NC 27203-5434 - Phone
- (336) 625-5151
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Lynwood R. White
- Title
- VP Finance
- Phone
- (336) 625-5151
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | |||
| Neuroradiology Physician | 2085N0700X | |||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Vascular & Interventional Radiology Physician | 2085R0204X | |||
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
364 White Oak St
Asheboro, NC 27203-5434
Mailing address
364 White Oak St
Asheboro, NC 27203-5434
Phone (336) 625-5151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3400123 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1255465944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "364 WHITE OAK ST",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272035434",
"telephone_number": "336-625-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "364 WHITE OAK ST",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272035434",
"telephone_number": "336-625-5151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RANDOLPH HOSPITAL INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "LYNWOOD",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "VP FINANCE",
"authorized_official_telephone_number": "336-625-5151",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Body Imaging",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Neuroradiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3400123",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Asheboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.