Individual provider Active NPI

Sallee Taylor Randolph, DPM

  • Foot & Ankle Surgery Podiatrist
  • Johnson City, TN
National Provider Identifier
1447614136
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
848 Issued in TN
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

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190829001144 TN Practitioner - Podiatry 7618261132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Podiatric Clinics of Northeast TNGroup PAC ID 5294064119, 2 clinicians
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians

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

ProcedureNumber of procedures
Removal of tissue112
Removal of skin lesions95
Removal of nail tissue29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatric Clinics of Northeast TN Foot & Ankle Surgery CurrentSince Jul 1, 2019 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

  • Direct secure messaging: randolph.sallee.007.0420016@arp.meditab.direct-ci.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.