Organization Active NPI

Randy Sellers, M.D. P.a.

  • Psychiatry Physician
  • Chapel Hill, NC
National Provider Identifier
1962651471
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
9401331 Issued in NC
Legal business name
RANDY SELLERS, M.D. P.A.
Practice address
211 Providence Rd
Chapel Hill, NC 27514-2231
Phone
(919) 493-5577
NPI assigned
Sep 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Randy Sellers, M.D.NPI 1134274087
Title
President
Phone
(919) 493-6600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 9401331 NC Primary

Addresses

Primary practice location

211 Providence Rd
Chapel Hill, NC 27514-2231

Mailing address

211 Providence Rd
Chapel Hill, NC 27514-2231
Phone (919) 493-5577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081009000616 NC Part B Supplier - Clinic/Group Practice 7214005834 Receives reassigned benefits from 1 practitioner
Practice locations: Chapel Hill, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1962651471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 PROVIDENCE RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142231",
            "telephone_number": "919-493-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 PROVIDENCE RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142231",
            "telephone_number": "919-493-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY SELLERS, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-493-6600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "9401331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.