Active NPI
Randall Charles Berinhout, M.D.
- Interventional Pain Medicine Physician
- Stockbridge, GA
National Provider Identifier
1720031503
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jun 19, 2025.
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 034777
- Practice address
- 165 N Park TRL
Suite 100
Stockbridge, GA 30281-6500 - Phone
- (770) 506-1800
- Fax
- (770) 506-4686
- NPI assigned
- May 19, 2006
- Last updated
- Jan 24, 2013
- 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 |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 034777 | GA | Primary |
Addresses
Primary practice location
165 N Park TRL
Suite 100
Stockbridge, GA 30281-6500
Mailing address
165 N Park TRL
Suite 100
Stockbridge, GA 30281-6500
Phone (770) 506-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000478277K | Medicaid | GA |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034777 | GA | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Premier Laboratories Inc | Past | Accepting new patients | |
| Advanced Diagnostics Laboratory LLC | Past | Accepting new patients | |
| Pain Management Specialist of Atlanta PC | Past | Accepting new patients | |
| Pain Management Specialists of Atlanta, PC | Interventional Pain Medicine | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulatory Surgical Clinic/Center
- Stockbridge, GA
- NPI 1801110275
-
- Clinical Medical Laboratory
- Stockbridge, GA
- NPI 1003221904
-
- Pain Medicine (Anesthesiology) Physician
- Stockbridge, GA
- NPI 1528495538
-
- Pain Medicine (Anesthesiology) Physician
- Stockbridge, GA
- NPI 1942637954
-
- Pain Medicine (Anesthesiology) Physician
- Stockbridge, GA
- NPI 1538196191
-
- Interventional Pain Medicine Physician
- Griffin, GA
- NPI 1780264911
-
- Clinical Medical Laboratory
- Cherry Hill, NJ
- NPI 1144716424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358985600000",
"number": "1720031503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 N PARK TRL",
"address_2": "SUITE 100",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302816500",
"telephone_number": "770-506-1800",
"fax_number": "770-506-4686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 N PARK TRL",
"address_2": "SUITE 100",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302816500",
"telephone_number": "770-506-1800",
"fax_number": "770-506-4686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERINHOUT",
"first_name": "RANDALL",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2013-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "GA",
"license": "034777",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000478277K",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.