Kristin Randolph

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN257493 Issued in GA

Practice address

103 Jesse Jewell Pkwy SW
Gainesville, GA 30501-4321

Phone

(866) 389-2727

NPI assigned

Feb 3, 2022

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Herman Medical Solutions, LLC

  • Internal Medicine Physician
  • Duluth, GA
  • NPI 1659986057
  NPD (past)

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1972257434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4765 FAIRWAYS LN",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305498836",
            "telephone_number": "770-654-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 JESSE JEWELL PKWY SW",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305014321",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "KRISTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN257493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indranie Ramsaroop
• J. Andrew Ramsey, DMD
• Randall Overdorff, LPC
• Shannon Randall, OTR/L
• Manraj Kaur Randhawa, MD
• Marc J Ranfone, AAC
• Deepa Ranganathan, MD
• Christy Rassel, SLP
• Megan Ratcliff, PH.D.
• Courtney Breana Ratliff, MBA, ADM, MPM

• Family Nurse Practitioner in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.