Individual provider Active NPI

Randolph C Bishop, MD

  • Neurological Surgery Physician
  • Savannah, GA
National Provider Identifier
1659360600
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
041516 Issued in GA
Practice address
8880 Abercorn St
Savannah, GA 31406-4508
Phone
(912) 713-4466
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 041516 GA Primary

Addresses

Primary practice location

8880 Abercorn St
Savannah, GA 31406-4508

Mailing address

PO Box 61356
Savannah, GA 31420-1356
Phone (912) 348-9495

Other identifiers 2

IdentifierTypeStateIssuer
00705537AMedicaidGA
G41516MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041203000197 GA Practitioner - Neurosurgery 0547226334 Reassigns benefits to 2 organizations
I20250124000176 KS Practitioner - Neurosurgery 0547226334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Missouri, Columbia School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Surgical LLCGroup PAC ID 5193731610, 6 clinicians
Advanced Neurosurgical Solutions LLCGroup PAC ID 7517394455, 2 clinicians

Practice addresses (Care Compare)

1818 E 23Rd Ave
Hutchinson, KS 67502-1106
Phone (620) 662-6000

8880 Abercorn St
Savannah, GA 31406-4508
Phone (912) 348-9495

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Pooler, GA, CCN 117150
  • Summit Surgical, LLC Hospital, Hutchinson, KS, CCN 170198
  • St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043
  • Effingham Health System Hospital, Springfield, GA, CCN 111306
  • Wayne Memorial Hospital Hospital, Jesup, GA, CCN 110124
  • Hutchinson Regional Medical Center Inc Hospital, Hutchinson, KS, CCN 170020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion235
Laminectomy or laminotomy (partial removal of spine bones)93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041516GAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Surgical, LLC Neurological Surgery CurrentSince Jan 2, 2025 Accepting new patients
Advanced Neurosurgical Solutions, LLC Neurological Surgery CurrentSince Feb 3, 2020 Accepting new patients
Cooperative Healthcare Services Inc CurrentSince Jan 1, 2023 Accepting new patients
Neurological Institute Ambulatory Surgical Center, LLC PastSince Aug 16, 2009 Accepting new patients
Summit Surgical LLC Past Accepting new patients
Summit Surgical, LLC Past Accepting new patients

Locations

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

2000 Dan Proctor Dr
Saint Marys, GA 31558
Phone (912) 576-6160

8880 Abercorn St
Savannah, GA 31406
Phone (912) 231-4441

1818 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 662-6000

125 W Cooper St
Sterling, KS 67579
Phone (620) 278-4259

Interoperability endpoints

  • Direct secure messaging: randolph.bishop.1@26057.direct.athenahealth.com
  • Direct secure messaging: randolphbishop@niscs.allscriptsdirect.net
  • Direct secure messaging: alongwater@neurosurgicalsolutions.kareodirect.com

Organizations & group practices 6

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 6

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1659360600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61356",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314201356",
            "telephone_number": "912-348-9495",
            "fax_number": "912-348-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 ABERCORN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064508",
            "telephone_number": "912-713-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "RANDOLPH",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2023-10-10",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "041516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00705537A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G41516",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.