Individual provider Active NPI

Frank Austin Randall, LPC

  • Professional Counselor
  • Ellijay, GA
National Provider Identifier
1750503942
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2454 Issued in GA
Practice address
64 Sailors Dr Ste 114
Ellijay, GA 30540-3744
Phone
(770) 590-3736
NPI assigned
May 3, 2007
Last updated
May 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2454 GA Primary

Addresses

Primary practice location

64 Sailors Dr Ste 114
Ellijay, GA 30540-3744

Mailing address

844 Walnut RDG # 4344
Ellijay, GA 30536-2608
Phone (770) 590-3736

Other practice location 1

505 Cove Rd Ste 3
Jasper, GA 30143-1363
Phone (770) 590-3736

Other practice location 2

1275 Shiloh Rd NW Ste 3030
Kennesaw, GA 30144-7186
Phone (770) 590-3736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312001582 GA Practitioner - Mental Health Counselor 0042656159 Reassigns benefits to 1 organization
Practice locations: Ellijay, GA; Marble Hill, GA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

3424 Peachtree Rd NE
Suite 2200
Atlanta, GA 30326-1156
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2454GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Professional CurrentSince Jan 1, 2026 Accepting new patients
James E. Stark, PH.D., P.C. PastSince May 25, 2021 Accepting new patients

Locations

3424 Peachtree Rd NE
Ste 2200
Atlanta, GA 30326
Phone (404) 436-2563

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1750503942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 WALNUT RDG # 4344",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305362608",
            "telephone_number": "770-590-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 SAILORS DR STE 114",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305403744",
            "telephone_number": "770-590-3736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Cove Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "GA",
            "postal_code": "301431363",
            "country_code": "US",
            "telephone_number": "770-590-3736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1275 Shiloh Rd NW Ste 3030",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301447186",
            "country_code": "US",
            "telephone_number": "770-590-3736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "FRANK",
        "middle_name": "AUSTIN",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "2454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellijay, GA

Sources for this page

Verify at the official NPI Registry.