Active NPI
Sallee Taylor Randolph, DPM
- Foot & Ankle Surgery Podiatrist
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 848
- Practice address
- 1303 Sunset Dr Ste 6
Johnson City, TN 37604 - Phone
- (423) 232-1771
- NPI assigned
- Apr 8, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 848 | TN | Primary |
Addresses
Primary practice location
1303 Sunset Dr Ste 6
Johnson City, TN 37604
Mailing address
206 Princeton Rd Ste 14
Johnson City, TN 37601-2025
Phone (423) 232-1771
Other practice location 1
206 Princeton Rd Ste 14
Johnson City, TN 37601-2025
Phone (423) 232-1771
Other names 1
- Sallee Raye Taylor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Champion Physical Therapy LLC Halls
Practice addresses (Care Compare)
1303 Sunset Dr
Suite 6
Johnson City, TN 37604-7905
Phone (423) 232-1771
4307 N Roan St
Suite 7
Johnson City, TN 37615-4973
Phone (423) 491-5222
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 112 |
| Removal of skin lesions | 95 |
| Removal of nail tissue | 29 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Podiatric Clinics of Northeast TN | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
206 Princeton Rd
Ste 14
Johnson City, TN 37601
Phone (423) 283-4055
1303 Sunset Dr
Johnson City, TN 37604
1303 Sunset Dr
Ste 6
Johnson City, TN 37604
Phone (423) 232-1771
Interoperability endpoints
- randolph.sallee.007.0420016@arp.meditab.direct-ci.com
- sallee.randolph.1@18552.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Foot & Ankle Surgery Podiatrist
- Johnson City, TN
- NPI 1619525961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1447614136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 PRINCETON RD STE 14",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376012025",
"telephone_number": "423-232-1771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 SUNSET DR STE 6",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "37604",
"telephone_number": "423-232-1771"
}
],
"practiceLocations": [
{
"address_1": "206 Princeton Rd Ste 14",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376012025",
"country_code": "US",
"telephone_number": "423-232-1771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RANDOLPH",
"first_name": "SALLEE",
"middle_name": "TAYLOR",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-08",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TN",
"license": "848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SALLEE",
"last_name": "TAYLOR",
"middle_name": "RAYE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.