Active NPI
Randall E Sellers, MD
- Diagnostic Radiology Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD2013-0672
- Practice address
- 4411 The 25 Way NE
Suite 150
Albuquerque, NM 87109-5857 - Phone
- (505) 332-6900
- Fax
- (505) 332-6921
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD 019240 | LA | |
| Diagnostic Radiology Physician | 2085R0202X | 18340 | MS | |
| Diagnostic Radiology Physician | 2085R0202X | MD2013-0672 | NM | Primary |
Addresses
Primary practice location
4411 The 25 Way NE
Suite 150
Albuquerque, NM 87109-5857
Mailing address
4411 The 25 Way NE Ste 150
Albuquerque, NM 87109-5888
Phone (505) 332-6900
Other practice location 1
415 S 28th Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00113321 | Medicaid | MS | |
| 300054356 | Other | RR MEDICARE | |
| 1962945 | Medicaid | LA | |
| 46678735 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, NM, TN, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Missouri, Kansas City, School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14163 Defries Rd
Folsom, LA 70437-3004
Phone (601) 288-7000
2051 Hamill Rd
Hixson, TN 37343-6614
Phone (423) 495-7100
4700 Battlefield Pkwy
Ringgold, GA 30736-5166
Phone (866) 730-5619
Hospital & facility affiliations
- Memorial Healthcare System, Inc
- Forrest General Hospital
- Commonspirit-Memorial Hospital-North Georgia
- Wayne General Hospital
- Highland Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 019240 | LA | MD | Diagnostic Radiology Physician |
| MD2013-0672 | NM | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Diagnostic Imaging Consultants Inc | Diagnostic Radiology | Current | Accepting new patients |
| CHI Memorial Hospital - Georgia | Current | Accepting new patients | |
| Northshore Imaging Assoc LLC | Diagnostic Radiology | Past | Accepting new patients |
| Memorial Health Care System, Inc. | Past | Accepting new patients |
Locations
100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301
4700 Battlefield Pkwy
Ringgold, GA 30736
Phone (706) 841-8000
4700 Battlefield Pkwy
Ste 100
Ringgold, GA 30736
Phone (706) 806-0170
2400 Unser Blvd SE
Ste 29200
Albuquerque, NM 87124
4411 The 25 Way NE
Ste 150
Albuquerque, NM 87109
Phone (505) 332-5800
2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620
400 Berywood Trl NW
Ste A
Cleveland, TN 37312
Phone (423) 697-3560
6401 Mountain View Rd
Ooltewah, TN 37363
Interoperability endpoints
- https://api.platform.athenahealth.com/14399/brand/2/csg/1/fhir/r4
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.
-
- Diagnostic Radiology Physician
- Chattanooga, TN
- NPI 1598712085
GA, LA
-
- Diagnostic Radiology Physician
- Hattiesburg, MS
- NPI 1992731590
LA
-
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1558416974
-
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1881666998
-
- Radiology Clinic/Center
- Ringgold, GA
- NPI 1336778828
-
- Cardiovascular Disease Physician
- Chattanooga, TN
- NPI 1851695480
-
- Diagnostic Radiology Physician
- Hammond, LA
- NPI 1447231444
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ringgold, GA
- NPI 1356860621
-
- General Acute Care Hospital
- Picayune, MS
- NPI 1053350462
-
- General Acute Care Hospital
- Hattiesburg, MS
- NPI 1225041809
-
- General Acute Care Hospital
- Hixson, TN
- NPI 1083778633
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
-
- General Acute Care Hospital
- Waynesboro, MS
- NPI 1679559983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1558352138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4411 THE 25 WAY NE STE 150",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871095888",
"telephone_number": "505-332-6900",
"fax_number": "505-332-6921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 THE 25 WAY NE",
"address_2": "SUITE 150",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871095857",
"telephone_number": "505-332-6900",
"fax_number": "505-332-6921"
}
],
"practiceLocations": [
{
"address_1": "415 S 28th Ave",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394017246",
"country_code": "US",
"telephone_number": "601-264-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SELLERS",
"first_name": "RANDALL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "LA",
"license": "MD 019240",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MS",
"license": "18340",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NM",
"license": "MD2013-0672",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00113321",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "300054356",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1962945",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "46678735",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.