Individual provider Active NPI

Randy C Lavender Jr., MD

  • Orthopaedic Surgery Physician
  • Athens, GA
National Provider Identifier
1841637378
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
93479 Issued in GA
Practice address
2470 Daniells Bridge Rd Ste 301
Athens, GA 30606-6188
Phone
(706) 389-3590
Fax
(706) 389-3811
NPI assigned
May 23, 2013
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 93479 GA Primary

Addresses

Primary practice location

2470 Daniells Bridge Rd Ste 301
Athens, GA 30606-6188

Mailing address

PO Box 48089
Athens, GA 30604-8089
Phone (706) 389-3590

Other identifiers 1

IdentifierTypeStateIssuer
003276101DMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210728001351 LA Practitioner - Orthopedic Surgery 5496996688 Reassigns benefits to 2 organizations
I20221013000385 GA Practitioner - Orthopedic Surgery 5496996688 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Louisiana State University School of Medicine in New Orleans, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary's Medical Group, Inc.Group PAC ID 7113098393, 118 clinicians
Crisp Regional Hospital IncGroup PAC ID 5991616336, 65 clinicians

Practice addresses (Care Compare)

2470 Daniells Bridge Rd
Athens, GA 30606-6188
Phone (706) 389-3880

902 N 7TH St
Cordele, GA 31015-3234
Phone (229) 276-3100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
93479GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc CurrentSince Jul 5, 2021 Accepting new patients
St. Mary's Medical Group, Inc. Orthopaedic Surgery CurrentSince Oct 2, 2025 Accepting new patients
St. Mary's Medical Group, Inc. CurrentSince Oct 2, 2025 Accepting new patients
St Mary's Medical Group, Inc Current Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
Lafayette Health Ventures, Inc CurrentSince Jul 5, 2021 Accepting new patients
University Hospital & Clinics, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Crisp Regional Hospital, Inc CurrentSince Oct 1, 2022 Accepting new patients
Crisp Regional Hospital Inc CurrentSince Oct 1, 2022 Accepting new patients
University Hospital & Clinics Inc CurrentSince Nov 1, 2021 Accepting new patients
Orlando Health Medical Group Inc Orthopaedic Surgery Past Accepting new patients
Athens Internal Medicine PC Past Accepting new patients

Locations

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

2470 Daniells Bridge Rd
Ste 301
Athens, GA 30606
Phone (706) 389-3590

740 Prince Ave
Ste 2
Athens, GA 30606
Phone (706) 548-5488

1701 E 16th Ave
Cordele, GA 31015
Phone (229) 276-2000

902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100

910 N 5th St
Cordele, GA 31015
Phone (229) 271-4652

2720 Dundee Rd
Northbrook, IL 60062
Phone (224) 226-5222

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7598/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rlavender@smi.gwaydirect.com
  • Direct secure messaging: rlavender4600842@direct.trinity-health.org

Organizations & group practices 12

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 2

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": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1841637378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48089",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306048089",
            "telephone_number": "706-389-3590",
            "fax_number": "706-389-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 DANIELLS BRIDGE RD STE 301",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066188",
            "telephone_number": "706-389-3590",
            "fax_number": "706-389-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVENDER",
        "first_name": "RANDY",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-23",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "93479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003276101D",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.