Individual provider Active NPI

Randall Cameron Beason, A.T.,C.

  • Athletic Trainer
  • Oxford, AL
National Provider Identifier
1841402138
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
287 Issued in AL
Practice address
1419 Hamric Dr E
Suite 201
Oxford, AL 36203-2173
Phone
(256) 241-3242
Fax
(256) 832-1966
NPI assigned
May 7, 2007
Last updated
Dec 31, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 287 AL Primary

Addresses

Primary practice location

1419 Hamric Dr E
Suite 201
Oxford, AL 36203-2173

Mailing address

995 Angel Dr
Jacksonville, AL 36265-5735
Phone (256) 239-4795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
287ALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton M Ray MD Orthopaedics & Sports Medicine LLC PastSince Nov 13, 2018 Accepting new patients

Organizations & group practices 1

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1841402138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 ANGEL DR",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362655735",
            "telephone_number": "256-239-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 HAMRIC DR E",
            "address_2": "SUITE 201",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362032173",
            "telephone_number": "256-241-3242",
            "fax_number": "256-832-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASON",
        "first_name": "RANDALL",
        "middle_name": "CAMERON",
        "name_prefix": "Mr.",
        "credential": "A.T.,C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.