Active NPI
Randolph Taylor II, M.D
- Family Medicine Physician
- Smyrna, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 83783
- 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, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rtaylor351918@directwellstar.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME 113093 | FL | MD | Family Medicine Physician |
| 83783 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Texas, PLLC | Family Medicine | Current | Accepting new patients |
| Morehouse Medicine Inc. | Family Medicine | Current | Accepting new patients |
| Morehouse Healthcare, Inc. | Current | Accepting new patients | |
| Cookeville Regional Medical Group, Inc | Past | 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
- https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4
- randolph.taylor.1@24920.direct.athenahealth.com
- 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.
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1801832324
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
Family Medicine
-
dba Bayfront Convenient Care Clinics
- Urgent Care Clinic/Center
- St Petersburg, FL
- NPI 1710963236
-
- Urgent Care Clinic/Center
- St Petersburg, FL
- NPI 1720328289
Family Medicine
-
- Multi-Specialty Clinic/Center
- Cookeville, TN
- NPI 1649202102
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wellstar Kennestone Hospital
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.