NPIMap

Individual provider Active NPI

Randall Miller Meredith, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Augusta, GA
National Provider Identifier
1801950712
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
050821 Issued in GA
Practice address
811 13TH St
Suite 20
Augusta, GA 30901-2700
Phone
(706) 722-3401
Fax
(706) 724-6540
NPI assigned
Dec 22, 2006
Last updated
Aug 20, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 050821 GA Primary

Addresses

Primary practice location

811 13TH St
Suite 20
Augusta, GA 30901-2700

Mailing address

811 13TH St
Suite 20
Augusta, GA 30901-2700
Phone (706) 722-3401

Other identifiers 1

IdentifierTypeStateIssuer
715601961AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051005000774 GA Practitioner - Orthopedic Surgery 0648205906 Reassigns benefits to 2 organizations
I20250423002574 SC Practitioner - Orthopedic Surgery 0648205906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Commonwealth Medical College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Augusta Orthopedic and Sports Medicine Specialists, PCGroup PAC ID 8527052463, shared by 2 NPIs, 55 clinicians

Practice addresses (Care Compare)

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

2511 Associates Way
Evans, GA 30809-3106
Phone (706) 722-3401

3650 J Dewey Gray Cir
Augusta, GA 30909-1867
Phone (706) 863-9797

410 University Pkwy
Suite 1000
Aiken, SC 29801-6800
Phone (803) 644-4264

4369 Evans to Locks Rd
Evans, GA 30809-4099
Phone (706) 863-9797

811 13TH St
Suite 20
Augusta, GA 30901-2771
Phone (706) 722-3401

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
79.48 of 100Reported as group
Quality
56.49
Promoting interoperability
100
Improvement activities
40
Cost
75.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement72
Knee replacement147
Lower limb (leg) arthroscopy (minimally invasive joint repair)24
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates of Augusta PA CurrentSince Oct 1, 2005 Accepting new patients
Augusta Orthopedic & Sports Medicine Specialists PC Adult Reconstructive Orthopaedic Surgery CurrentSince Nov 15, 2023 Accepting new patients
Orthopaedic Associates of Augusta P a CurrentSince Oct 1, 2005 Accepting new patients
Augusta Orthopedic & Sports Medicine Specialists PC CurrentSince Nov 15, 2023 Accepting new patients
Carolina Musculoskeletal Institute PA Past Accepting new patients

Locations

3650 J Dewey Gray Cir
Augusta, GA 30909
Phone (706) 863-9797

811 13th St
Ste 20
Augusta, GA 30901
Phone (706) 722-3401

410 University Pkwy
Ste 1000
Aiken, SC 29801
Phone (803) 644-4264

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17761/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/23890/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/8321/brand/1/csg/1/fhir/r4
  • Direct secure messaging: randall.meredith.1@23890.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Burke HealthWaynesboro, GA, CCN 110113 Hospital 5% Or Greater Direct Ownership Interest (3.3%) Jun 14, 2021
Burke Medical CenterWaynesboro, GA, CCN 11U113 Hospital Other (3.81%) Jun 22, 2021
Burke Medical CenterWaynesboro, GA, CCN 118556 Rural health clinic Other (3.81%) Jun 22, 2021

Owned or controlled facilities with NPI records 3

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

Organizations & group practices 6

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 12

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1801950712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 13TH ST",
            "address_2": "SUITE 20",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012700",
            "telephone_number": "706-722-3401",
            "fax_number": "706-724-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 13TH ST",
            "address_2": "SUITE 20",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012700",
            "telephone_number": "706-722-3401",
            "fax_number": "706-724-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "RANDALL",
        "middle_name": "MILLER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "GA",
            "license": "050821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "715601961A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.