Individual provider Active NPI

Randolph Taylor II, M.D

  • Family Medicine Physician
  • Smyrna, GA
National Provider Identifier
1386820553
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
83783 Issued in GA
Practice address
4441 Atlanta Rd SE Ste 216
Smyrna, GA 30080-6442
Phone
(470) 956-4120
NPI assigned
Jan 17, 2008
Last updated
Mar 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P7580 TX
Family Medicine Physician 207Q00000X ME 113093 FL
Family Medicine Physician 207Q00000X 83783 GA Primary

Addresses

Primary practice location

4441 Atlanta Rd SE Ste 216
Smyrna, GA 30080-6442

Mailing address

4441 Atlanta Rd SE Ste 216
Smyrna, GA 30080-6442
Phone (470) 956-4120

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rtaylor351918@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131022001877 TX Practitioner - Family PracticePractitioner - Sports Medicine 5597920561 Reassigns benefits to 1 organization
I20200422000571 GA Practitioner - Family Practice 5597920561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Boston University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morehouse Healthcare, Inc.Group PAC ID 6002701273, 155 clinicians
Morehouse Medicine Inc.Group PAC ID 3779082631, 30 clinicians

Practice addresses (Care Compare)

1513 E Cleveland Ave
BLDG 500
East Point, GA 30344-6949
Phone (404) 752-1000

455 Lee St
3Rd Floor
Atlanta, GA 30303
Phone (404) 752-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 113093FLMDFamily Medicine Physician
83783GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Apr 1, 2017 Accepting new patients
Morehouse Medicine Inc. Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Morehouse Healthcare, Inc. CurrentSince Mar 12, 2024 Accepting new patients
Cookeville Regional Medical Group, Inc PastSince Apr 8, 2019 Accepting new patients
Bayfront Enterprises Inc Past Accepting new patients
Bayfront Hma Convenient Care LLC Family Medicine Past Accepting new patients

Locations

455 Lee St SW
Fl 3
Atlanta, GA 30310
Phone (404) 756-1241

720 Westview Dr SW
Atlanta, GA 30310
Phone (404) 756-1383

1513 Cleveland Ave
Bldg 500
East Point, GA 30344
Phone (404) 756-1290

1595 Cleveland Ave
East Point, GA 30344
Phone (404) 305-8086

27800 NW Freeway
Cypress, TX 77433
Phone (346) 231-4000

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4
  • Direct secure messaging: randolph.taylor.1@24920.direct.athenahealth.com
  • Direct secure messaging: rtaylor2807235@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1386820553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 ATLANTA RD SE STE 216",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806442",
            "telephone_number": "470-956-4120",
            "fax_number": "678-842-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 ATLANTA RD SE STE 216",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806442",
            "telephone_number": "470-956-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "RANDOLPH",
        "name_suffix": "II",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-17",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P7580",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 113093",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "83783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rtaylor351918@directwellstar.org",
            "affiliation": "N",
            "address_1": "4441 Atlanta Rd SE Ste 216",
            "city": "Smyrna",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300806442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.