Active NPI
Randall Gary Samples, MD
- Pediatrics Physician
- Dublin, VA
National Provider Identifier
1699732115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101033704
- Practice address
- 5562 Cougar Trail Rd
Dublin, VA 24084 - Phone
- (540) 674-9359
- Fax
- (540) 674-1825
- NPI assigned
- Apr 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101033704 | VA | Primary |
Addresses
Primary practice location
5562 Cougar Trail Rd
Dublin, VA 24084
Mailing address
PO Box 969
Dublin, VA 24084
Phone (540) 674-9359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101033704 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Choice, P.C. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Dublin, VA
- NPI 1851498398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1699732115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 969",
"city": "DUBLIN",
"state": "VA",
"postal_code": "24084",
"telephone_number": "540-674-9359",
"fax_number": "540-674-1825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5562 COUGAR TRAIL RD",
"city": "DUBLIN",
"state": "VA",
"postal_code": "24084",
"telephone_number": "540-674-9359",
"fax_number": "540-674-1825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPLES",
"first_name": "RANDALL",
"middle_name": "GARY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101033704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, VA
- Pulaski Adult Day Service & Fall Prevention Center, Inc.
- Pulaski County Board of Supervisors
- Pulaski Internal Medicine, PC
- Kelly Nicole Rebkovich
- River Valley Healthcare Associates, PC
- Shannon Setliff
- Erin Shaffer, LCSW
- Cassie Ann Sheffey, FNP
- Michelle Walker Sherfy, CCC-SLP
- Victoria M Shirey, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.