Individual provider Active NPI

Randall Keith Mansell II, D.O.

  • Surgery Physician
  • Sheffield, AL
National Provider Identifier
1780021337
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
1845 Issued in AL
Practice address
1120 S Jackson Hwy Ste 105
Sheffield, AL 35660-5770
Phone
(256) 386-1125
Fax
(888) 745-7084
NPI assigned
May 22, 2013
Last updated
Jun 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 1845 AL Primary

Addresses

Primary practice location

1120 S Jackson Hwy Ste 105
Sheffield, AL 35660-5770

Mailing address

PO Box 11407, Dept# 5839
Birmingham, AL 35246-0001
Phone (256) 386-1125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180913000968 AL Practitioner - General Surgery 9739439639 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Helen Keller Specialty CareGroup PAC ID 9335676402, 27 clinicians

Practice addresses (Care Compare)

1120 S Jackson Hwy
Suite 105
Sheffield, AL 35660-5770
Phone (256) 386-1125

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy39
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux31
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1845ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NW Alabama Practice Management, LLC CurrentSince Jul 18, 2023 Accepting new patients
Helen Keller Specialty Care Surgery CurrentSince Nov 1, 2024 Accepting new patients
Desselle Surgical Clinic, LLC Surgery Past Accepting new patients

Locations

1100 S Jackson Hwy
Ste 105
Sheffield, AL 35660
Phone (256) 386-4066

1100 S Jackson Hwy
Ste 250
Sheffield, AL 35660
Phone (256) 381-6673

1120 S Jackson Hwy
Sheffield, AL 35660
Phone (256) 386-0855

1120 S Jackson Hwy
Ste 105
Sheffield, AL 35660
Phone (256) 386-1125

1300 S Montgomery Ave
Sheffield, AL 35660
Phone (256) 386-4005

Interoperability endpoints

  • Direct secure messaging: rmansel714771@directa.mercy.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1780021337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407, DEPT# 5839",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352460001",
            "telephone_number": "256-386-1125",
            "fax_number": "888-745-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S JACKSON HWY STE 105",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356605770",
            "telephone_number": "256-386-1125",
            "fax_number": "888-745-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSELL",
        "first_name": "RANDALL",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-22",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "1845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield, AL

Sources for this page

Verify at the official NPI Registry.