Individual provider Active NPI

Randall H Beckett, DNP, DC, APRN, NP-C

  • Family Nurse Practitioner
  • Mount Pleasant, SC
National Provider Identifier
1497705396
Registry record updated Jan 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F2945 Issued in SC
Practice address
1433 Wellesley Cir
Mt Pleasant, SC 29466-9047
Phone
(843) 412-3042
Fax
(803) 335-5151
NPI assigned
May 11, 2006
Last updated
Jan 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0905 SC
Family Nurse Practitioner 363LF0000X F2945 SC Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F2945 SC

Addresses

Primary practice location

1433 Wellesley Cir
Mt Pleasant, SC 29466-9047

Mailing address

1433 Wellesley Cir
Mt Pleasant, SC 29466-9047
Phone (843) 412-3042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110829000005 SC Practitioner - Nurse Practitioner 8921278003 Reassigns benefits to 2 organizations
I20230519000497 WI Practitioner - Nurse Practitioner 8921278003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Encounter Telehealth IncGroup PAC ID 9931348307, 20 clinicians

Practice addresses (Care Compare)

1035 Division St
Green Bay, WI 54303-2903
Phone (844) 485-3041

1433 Wellesley Cir
Mount Pleasant, SC 29466-9047
Phone (844) 485-3041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0905SCMDChiropractor
2945SCMDOccupational Therapy Assistant
F2945SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Jul 5, 2022 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
South Carolina Department of Mental Health Accounting Office CurrentSince Jul 5, 2022 Accepting new patients
Carter's Counseling Services, PLC PastSince May 17, 2017 Accepting new patients

Locations

1800 Colonial Dr
Columbia, SC 29203
Phone (803) 898-0123

2715 Colonial Dr
Columbia, SC 29203
Phone (803) 898-4777

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420848000000",
    "number": "1497705396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 WELLESLEY CIR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294669047",
            "telephone_number": "843-412-3042",
            "fax_number": "803-335-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 WELLESLEY CIR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294669047",
            "telephone_number": "843-412-3042",
            "fax_number": "803-335-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKETT",
        "first_name": "RANDALL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DNP, DC, APRN, NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2015-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "0905",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "F2945",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "F2945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.