NPIMap

Individual provider Active NPI

Bonnie F Randolph, MD

  • Internal Medicine Physician
  • Nashville, TN
National Provider Identifier
1497756258
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD38270 Issued in TN
Practice address
310 21St Ave N
Nashville, TN 37203-1846
Phone
(629) 253-5300
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD38270 TN Primary

Addresses

Primary practice location

310 21St Ave N
Nashville, TN 37203-1846

Mailing address

605 Cheshire Cir
Franklin, TN 37069-7191
Phone (615) 646-9114

Other identifiers 1

IdentifierTypeStateIssuer
3892235MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20040612000674 TN Practitioner - Emergency MedicinePractitioner - Internal Medicine 0648253211 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD38270TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Informe Healthcare TN, LLC Internal Medicine CurrentSince May 15, 2022 Accepting new patients
First Docs PC Internal Medicine CurrentSince Apr 1, 2023 Accepting new patients
C. Ferrell Varner MD, Inc. Emergency Medicine Past Accepting new patients
Franklin Operating Group LLC Past Accepting new patients
Pediatric Emergency Specialists, PC Past Accepting new patients
T M Carr MD PC Emergency Medicine Past Accepting new patients
Methodist Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Francis J. Fenaughty MD, P.C. Emergency Medicine Past Accepting new patients
Long Primary Care, PLLC Internal Medicine Past Accepting new patients

Locations

709 Walnut St
Chattanooga, TN 37402
Phone (423) 266-7721

1287 W Main St
Franklin, TN 37064
Phone (213) 737-3301

1000 Physicians Way
Franklin, TN 37067
Phone (615) 721-4000

200 Strahl St
Franklin, TN 37064
Phone (615) 550-5034

1250 Tennova Medical Way
Knoxville, TN 37909
Phone (800) 324-4777

310 21st Ave N
Nashville, TN 37203
Phone (629) 253-5300

2741 W Layton Ave
Ste 106
Milwaukee, WI 53221

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Franklin Wellness and Rehabilitation CenterFranklin, TN, CCN 445146 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Mar 28, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
East Tennessee State University Quillen College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Docs PC 181 clinicians

Practice addresses (Care Compare)

200 Strahl St
Franklin, TN 37064-3556
Phone (615) 791-1103

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Winchester, TN, CCN 447108
  • Maury Regional Hospital Hospital, Columbia, TN, CCN 440073
  • Williamson Medical Center Hospital, Franklin, TN, CCN 440029
  • Encompass Health Rehabilitation Hospital of Frankl Inpatient rehabilitation facility, Franklin, TN, CCN 443035
  • Franklin Wellness and Rehabilitation Center Nursing home, Franklin, TN, CCN 445146

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1497756258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 CHESHIRE CIR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370697191",
            "telephone_number": "615-646-9114",
            "fax_number": "615-646-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 21ST AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031846",
            "telephone_number": "629-253-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "BONNIE",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD38270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3892235",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.