NPIMap

Individual provider Active NPI

Zanetta Randolph, ARNP

  • Family Nurse Practitioner
  • Greer, SC
National Provider Identifier
1437666427
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22371 Issued in SC
Practice address
805 W Wade Hampton Blvd Ste C
Greer, SC 29650-1311
Phone
(864) 655-6615
Fax
(855) 617-4423
NPI assigned
Dec 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22371 SC Primary

Addresses

Primary practice location

805 W Wade Hampton Blvd Ste C
Greer, SC 29650-1311

Mailing address

805 W Wade Hampton Blvd Ste C
Greer, SC 29650-1311
Phone (864) 655-6615

Other names 1

  • Zanetta Rivers Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address zanetta.randolph.2@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200708002299 SC Practitioner - Nurse Practitioner 1658794771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

805 W Wade Hampton Blvd
Suite C
Greer, SC 29650-1311
Phone (864) 655-6615

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (SC) PC CurrentSince Oct 14, 2024 Accepting new patients
PH Health Care Services Inc CurrentSince May 7, 2024 Accepting new patients
Centerwell Senior Primary Care (SC) PC CurrentSince Oct 14, 2024 Accepting new patients
Centerwell Senior Primary Care (SC) PC Past Accepting new patients
Centerwell Senior Primary Care (SC) PC Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

108 Highway 28 Byp
Anderson, SC 29624
Phone (864) 296-5208

805 W Wade Hampton Blvd
Ste C
Greer, SC 29650
Phone (864) 655-6615

Interoperability endpoints

  • Direct secure messaging: zanetta.randolph@centerwell.eclinicaldirectplus.com
  • Direct secure messaging: zanetta.randolph.2@29601.direct.athenahealth.com
  • Direct secure messaging: zanetta.randolph.1@29601.direct.athenahealth.com

Organizations & group practices 5

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1437666427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W WADE HAMPTON BLVD STE C",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501311",
            "telephone_number": "864-655-6615",
            "fax_number": "855-617-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W WADE HAMPTON BLVD STE C",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501311",
            "telephone_number": "864-655-6615",
            "fax_number": "855-617-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "ZANETTA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-29",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zanetta.randolph.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "zanetta.randolph.2@29601.direct.athenahealth.com",
            "address_1": "805 W Wade Hampton Blvd Ste C",
            "city": "Greer",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296501311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ZANETTA",
            "last_name": "RIVERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greer, SC

Sources for this page

Verify at the official NPI Registry.