Randall Tibbs, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

283 Issued in AL

Practice address

929 Franklin St SE
Huntsville, AL 35801-4301

Phone

(256) 533-3624

Fax

(256) 534-9176

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Huntsville Podiatry Center PCGroup PAC ID 8123025251, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/f6fa7381-903b-4783-8911-188a44e03a3f/

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.

• Huntsville Podiatry Center PC

  • Foot Surgery Podiatrist
  • Huntsville, AL
  • NPI 1386738276
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1376561787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 FRANKLIN ST SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014301",
            "telephone_number": "256-533-3624",
            "fax_number": "256-534-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 FRANKLIN ST SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014301",
            "telephone_number": "256-533-3624",
            "fax_number": "256-534-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBBS",
        "first_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AL",
            "license": "283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": ":BLUE CROSS",
            "identifier": "70009",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Thurber, DPT
• Patricia Lusk Thurmond, FNP
• Clarissa Tibbs, PH.D., LPC
• Jada Alyse Tibbs
• Paige Tibbs, AGACNP
• Ruvimbo Michelle Ticharwa
• Darriana Tichenor
• Faith Kristen Tidmore
• Lauren Blair Tidwell, PA-C
• Rachel Sullivan Tieslau, MA, MS, RDN, LD, LPC

• Foot Surgery Podiatrist in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Foot Surgery Podiatrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.

Verify at the official NPI Registry.