Mark Lee Randall, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

18944 Issued in AL

Practice address

200 Carraway Dr
Suite 2
Winfield, AL 35594-5048

Phone

(205) 487-7661

NPI assigned

Sep 8, 2011

Last updated

Jan 6, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

General Surgery

Education

University of Alabama School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

FMC Medical Clinic - Fayette LLCGroup PAC ID 3375894041, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fayette Medical Center Hospital, Fayette, AL, CCN 010045
• DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: curmranda@yourcarecommunity.org
• FHIR API: https://fhir4.healow.com/fhir/r4/EBBFBD

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.

• FMC Medical Clinic - Fayette LLC

  • Family Medicine Physician
  • Fayette, AL
  • NPI 1588141063

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• NWMC Winfield Physicians LLC

  • Family Medicine Physician
  • Winfield, AL
  • NPI 1366831380

  Multi-Specialty

  Medicare reassignment NPD
• Fayette Medical Center

  • General Acute Care Hospital
  • Fayette, AL
  • NPI 1851323836
  Medicare reassignment
• Ecm Health Group LLC

  • Obstetrics & Gynecology Physician
  • Florence, AL
  • NPI 1346588852

  Multi-Specialty

  NPD (past)
• Internal Medicine Associates of Tuscaloosa, PC

  • Internal Medicine Physician
  • Tuscaloosa, AL
  • NPI 1225146004

  Multi-Specialty

  NPD (past)
• Lakeland Physician Practices LLC

  dba Lakeland Family Practice

  • Family Medicine Physician
  • Haleyville, AL
  • NPI 1679913784
  NPD (past)
• Tennessee Valley Surgery Group

  • Surgery Physician
  • Florence, AL
  • NPI 1356309652

  Multi-Specialty

  NPD (past)

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

• Fayette Medical Center

  • General Acute Care Hospital
  • Fayette, AL
  • NPI 1851323836
  Care Compare affiliation
• The DCH Health Care Authority

  dba DCH Health & Wellness Clinic

  • Clinic/Center
  • Tuscaloosa, AL
  • NPI 1306613211

  Hospital

  Care Compare affiliation
• The DCH Health Care Authority

  dba DCH Outpatient Services

  • Clinic/Center
  • Tuscaloosa, AL
  • NPI 1780927681

  Hospital

  Care Compare affiliation
• The DCH Healthcare Authority

  dba DCH Regional Medical Center

  • General Acute Care Hospital
  • Tuscaloosa, AL
  • NPI 1841394418
  Care Compare affiliation

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1831470426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CARRAWAY DR",
            "address_2": "SUITE 2",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355945048",
            "telephone_number": "205-487-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CARRAWAY DR",
            "address_2": "SUITE 2",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355945048",
            "telephone_number": "205-487-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "MARK",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-08",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "AL",
            "license": "MD.18944",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "18944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark.randall@nwp.eclinicaldirectplus",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 Carraway Dr",
            "address_2": "Suite 2",
            "city": "Winfield",
            "state": "AL",
            "country_code": "US",
            "postal_code": "355945048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Dustan Gray Reeves, DPT
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• Christy Romano, CRNP
• Matthew Blaine Salter, PT, DPT

• Surgery Physician in Winfield, AL
• Providers in Winfield, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.