Randal McLean

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-05483 Issued in NC

Practice address

5080 Kahn Dr
Lumberton, NC 28358-2302

Phone

(910) 738-5588

NPI assigned

Jan 19, 2015

Sex

Female

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

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: randalmclean@rpf.allscriptsdirect.net

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.

• Uwh of the Carolinas, PLLC

  • Obstetrics & Gynecology Physician
  • Morrisville, NC
  • NPI 1639506470
  Medicare reassignment
• Lumberton Obstetrics & Gynecology Associates PA

  • Obstetrics & Gynecology Physician
  • Lumberton, NC
  • NPI 1932318623
  NPD
• Fastmed P.C.

  • Family Medicine Physician
  • Durham, NC
  • NPI 1629841788
  NPD (past)
• Rainbow Pediatrics of Fayetteville

  • Pediatrics Physician
  • Fayetteville, NC
  • NPI 1356439566
  NPD (past)
• Rainbow Pediatrics of Hope Mills

  • Pediatrics Physician
  • Hope Mills, NC
  • NPI 1164655932
  NPD (past)

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421625600000",
    "number": "1265821995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OXFORD RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283588321",
            "telephone_number": "910-618-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 KAHN DR",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582302",
            "telephone_number": "910-738-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "RANDAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-19",
        "last_updated": "2015-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Joye McKoy, MSW LCSWA
• Jerri-Kelly McLamb
• Daquan McLean
• Julia Kaye McLean, SPEECH LANGUAGE PATH
• Katherine Elizabeth McLean, OTR/L
• James Donald McLeod, M.D.
• Benjamin McMichael
• McMillan Home Care
• Erickia Deshontelle McNair, R.N.
• Julie Hicks McNeill, DDS

• Physician Assistant in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; 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.