Active NPI
Bridget Randolph, ARNP
- Nurse Practitioner
- Fayetteville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN230003
- Practice address
- 1267 Highway 54 W Ste 2200
Fayetteville, GA 30214-2110 - Phone
- (770) 716-0051
- NPI assigned
- Nov 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN230003 | GA | |
| Family Nurse Practitioner | 363LF0000X | 83618 | OK | |
| Nurse Practitioner | 363L00000X | RN230003 | GA | Primary |
Addresses
Primary practice location
1267 Highway 54 W Ste 2200
Fayetteville, GA 30214-2110
Mailing address
PO Box 30589
Midwest City, OK 73140-3589
Phone (405) 769-3301
Other practice location 1
5185 Old National Hwy
Atlanta, GA 30349-3244
Phone (404) 763-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1267 Hwy 54 W
Suite 2200
Fayetteville, GA 30214
Phone (770) 716-0051
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3050
Phone (404) 616-8880
Hospital & facility affiliations
- Grady Memorial Hospital
- Piedmont Fayette Hospital
- Piedmont Newnan Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.48 of 100
- Quality
- 87.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN230003 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grady Memorial Hospital Corporation | Current | Accepting new patients | |
| Piedmont Cardiology of Atlanta, LLC | Current | Accepting new patients | |
| Grady Memorial Hospital Corporation | Current | Accepting new patients | |
| Prime Direct Care | Current | Accepting new patients | |
| City of Hope Medical Group of Georgia LLC | Current | Accepting new patients | |
| Georgia Pain Physicians PC | Nurse Practitioner | Past | Accepting new patients |
| Mercy Access LLC | Past | Accepting new patients |
Locations
2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415
600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334
9070 Peridot Pkwy
Stockbridge, GA 30281
Phone (678) 907-0663
62742 Collections Ctr Dr
Chicago, IL 60693
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1114243813
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
- Internal Medicine Physician
- Newnan, GA
- NPI 1447520333
-
- General Practice Registered Nurse
- Stockbridge, GA
- NPI 1881358125
-
- Rehabilitation Hospital
- Atlanta, GA
- NPI 1336961119
-
- Family Medicine Physician
- Edmond, OK
- NPI 1629392204
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1992799050
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634515200000",
"number": "1972805133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30589",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731403589",
"telephone_number": "405-769-3301",
"fax_number": "405-769-9685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1267 HIGHWAY 54 W STE 2200",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302142110",
"telephone_number": "770-716-0051"
}
],
"practiceLocations": [
{
"address_1": "5185 Old National Hwy",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303493244",
"country_code": "US",
"telephone_number": "404-763-9300",
"fax_number": "404-763-9304",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RANDOLPH",
"first_name": "BRIDGET",
"name_prefix": "Miss",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-21",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN230003",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "83618",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN230003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.