Individual provider Active NPI

Randall Ray Feather, M.D.

  • Emergency Medicine Physician
  • Memphis, TN
National Provider Identifier
1962761551
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036.139323 Issued in IL
Practice address
3895 Grahamwood CV
Memphis, TN 38122-3839
Phone
(618) 731-1215
NPI assigned
May 16, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036.139323 IL Primary
Family Medicine Physician 207Q00000X 036139323 IL

Addresses

Primary practice location

3895 Grahamwood CV
Memphis, TN 38122-3839

Mailing address

3895 Grahamwood CV
Memphis, TN 38122-3839
Phone (618) 731-1215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160609002549 IL Practitioner - Family Practice 6709025471 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Illinois Specialty Clinic, Inc.Group PAC ID 9830562016, 145 clinicians
Integritas Emergency Physician Services LLCGroup PAC ID 7113167446, 41 clinicians

Practice addresses (Care Compare)

517 N Main St
Anna, IL 62906-1668
Phone (618) 833-4511

8 Doctors Pkwy
Mount Vernon, IL 62864-6224
Phone (618) 244-5500

Hospital & facility affiliations

  • Deaconess Illinois Union County Hospital, Anna, IL, CCN 141342

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.139323ILMDEmergency Medicine Physician
036139323ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integritas Emergency Physician Services, LLC Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Statera Health Care, LLC Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients

Locations

517 N Main St
Anna, IL 62906
Phone (618) 833-2295

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

Interoperability endpoints

  • Direct secure messaging: rfeather@yourcarecommunity.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1962761551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3895 GRAHAMWOOD CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381223839",
            "telephone_number": "618-731-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3895 GRAHAMWOOD CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381223839",
            "telephone_number": "618-731-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEATHER",
        "first_name": "RANDALL",
        "middle_name": "RAY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-16",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.139323",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036139323",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.