Randi L Davis, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A003914 Issued in AR

Practice address

301 S Bay Dr
Bay, AR 72411-9482

Phone

(870) 770-1920

Fax

(870) 994-7488

NPI assigned

Jul 23, 2013

Last updated

Aug 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Randi L Perry Former name

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Access Medical Clinic Arkansas LLCGroup PAC ID 5890077093, 143 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: randi.davis.1@15024.direct.athenahealth.com
• Direct secure messaging: randi.perry.1@2424.direct.athenahealth.com

All facility ownership & control disclosures 64

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 64

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Lamar, AR
  • NPI 1073004891

  Corporate Director, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Caraway, AR
  • NPI 1104321850

  Corporate Director, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Forrest City, AR
  • NPI 1104538388

  Corporate Director, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Garfield, AR
  • NPI 1144755570

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Cedarville, AR
  • NPI 1164913984

  Corporate Director, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Flippin, AR
  • NPI 1184163008

  Corporate Director, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Osceola, AR
  • NPI 1184401325

  Corporate Director, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Blytheville, AR
  • NPI 1245017870

  Corporate Director, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Clarksville, AR
  • NPI 1265127591

  Corporate Director, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Booneville, AR
  • NPI 1285150672

  Corporate Director, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Dierks, AR
  • NPI 1295317295

  W-2 Managing Employee

  CMS ownership
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Viola, AR
  • NPI 1346869419

  Corporate Director, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

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.

• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Salem, AR
  • NPI 1578007647
  Medicare reassignment Care Compare group NPD
• Bradley Bibb MD PLLC

  • Rural Health Clinic/Center
  • Ash Flat, AR
  • NPI 1699097436
  Medicare reassignment NPD
• Access Medical Clinic Arkansas LTC LLC

  • Rural Health Clinic/Center
  • Weiner, AR
  • NPI 1114578929
  Medicare reassignment
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Camden, AR
  • NPI 1508563362
  NPD
• Access Medical Clinic Arkansas LTC LLC

  • Rural Health Clinic/Center
  • Concord, AR
  • NPI 1235664772
  NPD
• Bradley Bibb MD PLLC

  dba Access Medical Clinic

  • Rural Health Clinic/Center
  • Hardy, AR
  • NPI 1285183962
  NPD
• Access Medical Clinic Arkansas LTC LLC

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1841154846
  NPD
• Bradley Bibb MD PLLC

  • Rural Health Clinic/Center
  • Chickasha, OK
  • NPI 1013724764
  NPD
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Cedarville, AR
  • NPI 1164913984
  NPD (past)
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Osceola, AR
  • NPI 1184401325
  NPD (past)
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Blytheville, AR
  • NPI 1245017870
  NPD (past)
• Access Medical Clinic Arkansas LLC

  dba Access Medical Podiatry

  • Podiatrist
  • Booneville, AR
  • NPI 1255910782
  NPD (past)

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1740622497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W MAIN ST",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725429566",
            "fax_number": "870-856-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S BAY DR",
            "city": "BAY",
            "state": "AR",
            "postal_code": "724119482",
            "telephone_number": "870-770-1920",
            "fax_number": "870-994-7488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3519 Highway 63",
            "address_purpose": "LOCATION",
            "city": "Black Rock",
            "state": "AR",
            "postal_code": "724159022",
            "country_code": "US",
            "telephone_number": "870-878-4005",
            "fax_number": "870-994-7488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RANDI",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDI",
            "last_name": "PERRY",
            "middle_name": "L",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• AMC FQHC Inc
• Bay School District 21
• Bradley Bibb MD PLLC
• Angela Burgess, APRN
• Phillip Carmer, PTA
• Brittany K Fair, PA
• Wanda Faye Mooney, APRN
• Crissie Parks
• Jessica Strickland, IBCLC
• Tailgate Time Inc

• Family Nurse Practitioner in Bay, AR
• Providers in Bay, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.