Individual provider Active NPI

Randall K Stewart, MD

  • Internal Medicine Physician
  • Guntersville, AL
National Provider Identifier
1376681676
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12068 Issued in AL
Practice address
8000 Al Highway 69
Guntersville, AL 35976-7140
Phone
(256) 571-8000
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12068 AL Primary

Addresses

Primary practice location

8000 Al Highway 69
Guntersville, AL 35976-7140

Mailing address

8000 Al Highway 69
Guntersville, AL 35976-7140
Phone (256) 571-8000

Other identifiers 3

IdentifierTypeStateIssuer
000035348MedicaidAL
051035348OtherALBCBS MMCN
009967700MedicaidAL

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081015000202 AL Practitioner - Internal Medicine 2163580481 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vivian N HannonGroup PAC ID 6002879913, 2 clinicians
Hospital Medicine Associates LLCGroup PAC ID 9234156985, 208 clinicians

Practice addresses (Care Compare)

1241 Blount Ave
Guntersville, AL 35976-1831
Phone (256) 582-6377

810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone (205) 939-7000

Hospital & facility affiliations

  • St Vincent'S Birmingham Hospital, Birmingham, AL, CCN 010056
  • Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Associates LLC Internal Medicine CurrentSince Nov 1, 2019 Accepting new patients
Marshall Medical Center North CurrentSince Nov 30, 2009 Accepting new patients
HH Health System - Marshall LLC Current Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

2505 US Highway 431
Boaz, AL 35957
Phone (256) 506-0061

820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761

8000 AL Highway 69
Guntersville, AL 35976
Phone (256) 571-8000

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Guntersville Family Practice ClinicGuntersville, AL, CCN 013894 Rural health clinic Corporate Director
W-2 Managing Employee
Jan 1, 2011
Jan 1, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1376681676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 AL HIGHWAY 69",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359767140",
            "telephone_number": "256-571-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 AL HIGHWAY 69",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359767140",
            "telephone_number": "256-571-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "RANDALL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "12068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000035348",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MMCN",
            "identifier": "051035348",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009967700",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guntersville, AL

Sources for this page

Verify at the official NPI Registry.