Randy A Earls, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

11065 Issued in TN

Practice address

700 Sherrill St
Suite B
Union City, TN 38261-5891

Phone

(731) 884-3900

Fax

(731) 884-3901

NPI assigned

Apr 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Omni Medical and Rehab, Inc.Group PAC ID 2062737372, 2 clinicians

Cardiovascular Clinic of West TN PCGroup PAC ID 5092800920, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DAGDAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cardiovascular Clinic of West TN PC

  • Cardiovascular Disease Physician
  • Jackson, TN
  • NPI 1740480961

  TN

  Medicare reassignment Care Compare group NPD
• Omni Medical and Rehab Inc

  • Physical Medicine & Rehabilitation Physician
  • Milan, TN
  • NPI 1942617782

  TN

  Medicare reassignment Care Compare group
• Charles a. Walker Dba Walker Pain Management Centers

  • Specialist
  • Paris, TN
  • NPI 1184007742
  NPD (past)
• Mednorth Group PLLC

  • Clinic/Center
  • Jackson, TN
  • NPI 1770549693
  NPD (past)
• The Cardiovascular Clinic of West Tennessee,P.C.

  • Cardiovascular Disease Physician
  • Jackson, TN
  • NPI 1013112457
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1821054669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 SAUNDERSVILLE RD",
            "address_2": "SUITE 160",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370758903",
            "telephone_number": "901-203-2901",
            "fax_number": "901-779-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SHERRILL ST",
            "address_2": "SUITE B",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615891",
            "telephone_number": "731-884-3900",
            "fax_number": "731-884-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLS",
        "first_name": "RANDY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "11065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "Q47291",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q013847",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Mark Armstrong MD PC
• DRS. Jordan & Bondurant PLLC
• Misty Dunn, PTA
• Dyersburg Family Walk-in Clinic
• E.W. James & Sons, Inc
• Natasha Edwards
• Candace R Eubanks, LCSW
• Ew James & Sons, Inc, Dba Ew James Pharmacy #70
• Family Cancer Center PLLC
• Family Practice,LLC

• All providers in Union City, TN
• Adult Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.