Randleman Family Clinic PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RANDLEMAN FAMILY CLINIC PLLC

Practice address

2806 Randleman Rd Ste J
Greensboro, NC 27406-5266

Phone

(336) 907-7201

NPI assigned

Oct 30, 2017

Organization subpart

No

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

Authorized official

Name

Shaunda KellyNPI 1659540508

Title

Owner

Phone

(336) 907-7201

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shaunda Elyse Kelly, MD, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Birmingham, AL
  • NPI 1659540508
  NPD (past) Authorized official
• Kim W Smith, NP C

  • Family Nurse Practitioner
  • Fayetteville, NC
  • NPI 1811223464
  NPD

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1912419078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 RANDLEMAN RD STE J",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274065266",
            "telephone_number": "336-907-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 RANDLEMAN RD STE J",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274065266",
            "telephone_number": "336-907-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDLEMAN FAMILY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "SHAUNDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-907-7201"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie Danielle Ramsey, FNP-C
• Terri Ramsey, SLP
• Stephen Thomas Rancour, M. D.
• Barbara Randall
• Mary Kathleen Randall
• Randleman Plaza Pharmacy
• Melissa Randleman, BSN, RN
• Andrea Randolph
• Tiffany Patrice Randolph, M.D.
• Jore Roco Ranis

• Internal Medicine Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.