Individual provider Active NPI

Randi Cheree Melton, D.O.

  • Family Medicine Physician
  • Northport, AL
National Provider Identifier
1548643273
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO1737 Issued in AL
Practice address
1325 McFarland Blvd
Suite 102
Northport, AL 35476-3270
Phone
(205) 348-6700
Fax
(205) 348-6112
NPI assigned
Jun 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO1737 AL Primary
Student in an Organized Health Care Education/Training Program 390200000X AL

Addresses

Primary practice location

1325 McFarland Blvd
Suite 102
Northport, AL 35476-3270

Mailing address

850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7419
Phone (205) 348-6700

Other practice location 1

850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7419
Phone (205) 348-6700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171129000039 AL Practitioner - Family Practice 3375850431 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capstone Health Services Foundation PCGroup PAC ID 6103724489, 159 clinicians

Practice addresses (Care Compare)

850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7457
Phone (205) 348-1770

Hospital & facility affiliations

  • Amedisys Home Health of Tuscaloosa Home health agency, Northport, AL, CCN 017300
  • DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO1737ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC Family Medicine CurrentSince Aug 6, 2017 Accepting new patients
American Family Care, LLC Current Accepting new patients
Capstone Health Services Foundation PC Family Medicine CurrentSince Oct 9, 2018 Accepting new patients
American Family Care, LLC CurrentSince Aug 6, 2017 Accepting new patients
Capstone Health Services Foundation PC CurrentSince Oct 9, 2018 Accepting new patients
The DCH Healthcare Authority Past Accepting new patients

Locations

105 US Highway 80 E
Ste 215
Demopolis, AL 36732
Phone (334) 287-2825

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

1325 McFarland Blvd
Ste 102
Northport, AL 35476
Phone (205) 333-8800

850 Peter Bryce Blvd
Tuscaloosa, AL 35401

9070 Highway 69 S
Tuscaloosa, AL 35405
Phone (205) 722-9500

Interoperability endpoints

  • Direct secure messaging: randi.melton.p1@direct.umc.nextgenshare.com

Organizations & group practices 7

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1548643273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 PETER BRYCE BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017419",
            "telephone_number": "205-348-6700",
            "fax_number": "205-348-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 MCFARLAND BLVD",
            "address_2": "SUITE 102",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763270",
            "telephone_number": "205-348-6700",
            "fax_number": "205-348-6112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Peter Bryce Blvd",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354017419",
            "country_code": "US",
            "telephone_number": "205-348-6700",
            "fax_number": "205-348-6112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELTON",
        "first_name": "RANDI",
        "middle_name": "CHEREE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO1737",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

Verify at the official NPI Registry.