Active NPI
Fielding Arthur Minter Randolph, MD
- Emergency Medicine Physician
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 46437
- Practice address
- 294 Summar Dr
Jackson, TN 38301-3915 - Phone
- (731) 423-1932
- Fax
- (731) 410-0367
- NPI assigned
- Apr 15, 2009
- Last updated
- Oct 1, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 46437 | TN | Primary |
Addresses
Primary practice location
294 Summar Dr
Jackson, TN 38301-3915
Mailing address
294 Summar Dr
Dept 289
Jackson, TN 38301-3915
Phone (731) 423-1932
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.74 of 100
- Quality
- 85.23
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 56.07 of 100
- Quality
- 52.13
- Improvement activities
- 0
- Cost
- 66.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Tennessee Medical Group Inc | Current | Accepting new patients | |
| University of Tennessee | Past | Accepting new patients |
Locations
650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834
175 Hospital Dr
Camden, TN 38320
Phone (731) 584-6135
257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
161 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-4261
4039 Highland St
Ste 1
Milan, TN 38358
Phone (731) 723-3668
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1053615955
-
- Emergency Medicine Physician
- Jackson, TN
- NPI 1538345855
-
- Family Medicine Physician
- Jackson, TN
- NPI 1780686436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1316180607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "294 SUMMAR DR",
"address_2": "DEPT 289",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013915",
"telephone_number": "731-423-1932",
"fax_number": "731-410-0367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "294 SUMMAR DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013915",
"telephone_number": "731-423-1932",
"fax_number": "731-410-0367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDOLPH",
"first_name": "FIELDING",
"middle_name": "ARTHUR MINTER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-15",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "46437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.