Sandra Boyland Randolph, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

26259 Issued in TN

Practice address

7424 US Highway 64
Suite 111
Memphis, TN 38133-3986

Phone

(901) 385-7817

Fax

(901) 383-2150

NPI assigned

Feb 22, 2006

Last updated

Oct 29, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Advanced Primary Care LLC

  • Primary Care Clinic/Center
  • Memphis, TN
  • NPI 1033249974
  NPD (past)
• Carenow, Inc

  • Home Health Agency
  • Memphis, TN
  • NPI 1104988435
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1932174877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7424 US HIGHWAY 64",
            "address_2": "SUITE 111",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381333986",
            "telephone_number": "901-385-7817",
            "fax_number": "901-383-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 US HIGHWAY 64",
            "address_2": "SUITE 111",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381333986",
            "telephone_number": "901-385-7817",
            "fax_number": "901-383-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "SANDRA",
        "middle_name": "BOYLAND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "26259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Wendell Randolph, MEDICAL DOCTOR
• Donna W Randolph, M.D.
• Karsyn Emily Randolph, DPT
• Patrick F Randolph, MD
• Richard Randolph, PA-C
• Veronica Latonya Randolph, OTR/L
• Bharathi Rangaswami, MD
• Narayanaswami Rangaswami, MD
• Rita B Range, LCSW
• Navdip Singh Rangi, MD

• Family Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.