Active NPI
Randy Tinsley
- Private Vehicle
- Granite Falls, NC
National Provider Identifier
1427664978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- Practice address
- 4140 Hickory Blvd
Granite Falls, NC 28630-8371 - Phone
- (828) 569-2795
- Fax
- (828) 202-8744
- NPI assigned
- Sep 21, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | Primary |
Addresses
Primary practice location
4140 Hickory Blvd
Granite Falls, NC 28630-8371
Mailing address
4140 Hickory Blvd
Granite Falls, NC 28630-8371
Phone (828) 569-2795
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40333728 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | fax |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1427664978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 HICKORY BLVD",
"city": "GRANITE FALLS",
"state": "NC",
"postal_code": "286308371",
"telephone_number": "828-569-2795",
"fax_number": "828-202-8744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4140 HICKORY BLVD",
"city": "GRANITE FALLS",
"state": "NC",
"postal_code": "286308371",
"telephone_number": "828-569-2795",
"fax_number": "828-202-8744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINSLEY",
"first_name": "RANDY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-21",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40333728",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "fax",
"affiliation": "N",
"address_1": "4140 Hickory Blvd",
"city": "Granite Falls",
"state": "NC",
"country_code": "US",
"postal_code": "286308371",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Granite Falls, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.