Michael David Randell, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

40200 Issued in GA

Practice address

5667 Peachtree Dunwoody Rd Ste 280
Atlanta, GA 30342-1714

Phone

(404) 250-4443

Fax

(404) 250-4423

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Michael D. Randell, M.D., P.C.

  • Specialist
  • Atlanta, GA
  • NPI 1992885586
  NPD (past) Authorized official

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1700801206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5667 PEACHTREE DUNWOODY RD STE 280",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421714",
            "telephone_number": "404-250-4443",
            "fax_number": "404-250-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5667 PEACHTREE DUNWOODY RD STE 280",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421714",
            "telephone_number": "404-250-4443",
            "fax_number": "404-250-4423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "980 Johnson Ferry Rd NE Ste 230",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421623",
            "country_code": "US",
            "telephone_number": "404-250-4443",
            "fax_number": "404-250-4423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDELL",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "40200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIECENCE",
            "identifier": "040200",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000676629E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randall & Randall Recovery Consultants LLC
• Randall J. Slovis, M.D. P.C.
• Janine E. Randall, DDS
• Lauren Hall Randall, M.D.
• Sydney Randall, RN
• Supreet Singh Randhawa
• Brandyn Alexander Randle
• Peter Michael Randle, M.D.
• Velda Marche Randle
• Dallin T Randolph, MD

• Gynecology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.