Individual provider Active NPI

Randi Caroline Kozlowski, NP

  • Family Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1992249635
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN206907 Issued in GA
Practice address
225 Candler Dr Ste 300
Savannah, GA 31405-6091
Phone
(912) 354-6187
NPI assigned
Dec 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN206907 GA Primary
Nurse Practitioner 363L00000X RN206907 GA

Addresses

Primary practice location

225 Candler Dr Ste 300
Savannah, GA 31405-6091

Mailing address

836 E 65TH St Ste 4
Savannah, GA 31405-4491

Other practice location 1

459 Hwy 119 S Ste B
Springfield, GA 31329-3021
Phone (912) 754-2560

Other practice location 2

4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 354-6187

Other practice location 3

5353 Reynolds St
Savannah, GA 31405-6015
Phone (912) 354-6187

Other practice location 4

1497 Fair Rd Ste 311
Statesboro, GA 30458-0828
Phone (912) 354-6187

Other practice location 5

459 Hwy 119 S
Springfield, GA 31329-3021
Phone (912) 754-2560

Other practice location 6

159 W Railroad St, Bldg B
Pembroke, GA 31321
Phone (912) 354-6187

Other practice location 7

1499 Fair Rd
Statesboro, GA 30458-1683
Phone (912) 354-6187

Other practice location 8

11705 Mercy Blvd
Savannah, GA 31419-1711
Phone (912) 354-6187

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rkozlowski49917@epicsav.hcadirect.net

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170407001119 GA Practitioner - Nurse Practitioner 2860778784 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Candler Medical Oncology Practice LLCGroup PAC ID 2860717089, 26 clinicians

Practice addresses (Care Compare)

225 Candler Dr
Suite 300
Savannah, GA 31405-6091
Phone (912) 354-6187

Hospital & facility affiliations

  • Candler Hospital Hospital, Savannah, GA, CCN 110024
  • East Georgia Regional Medical Center Hospital, Statesboro, GA, CCN 110075
  • Savannah Health Services LLC Dba Memorial Health University Medical Center Hospital, Savannah, GA, CCN 110036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN206907GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MPPG, Inc. CurrentSince Feb 14, 2017 Accepting new patients
Candler Medical Oncology Practice, LLC CurrentSince Dec 31, 2024 Accepting new patients
Effingham Physician Practices, LLC CurrentSince Dec 31, 2024 Accepting new patients
Candler Medical Oncology Practice, LLC CurrentSince Dec 31, 2024 Accepting new patients

Locations

3226 Hampton Ave
Ste F
Brunswick, GA 31520
Phone (912) 264-4840

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

4731 Waters Ave
Savannah, GA 31404
Phone (912) 350-4905

4750 Waters Ave
Ste 202
Savannah, GA 31404
Phone 9123505970 ext. 5994

836 E 65th St
Ste 4
Savannah, GA 31405
Phone (912) 303-1309

5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172

225 Candler Dr
Ste 300
Savannah, GA 31405

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

459 Highway 119 S
Ste B
Springfield, GA 31329
Phone (912) 754-2560

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

1497 Fair Rd
Ste 311
Statesboro, GA 30458
Phone (340) 643-2227

1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rkozlowski49917@epicsav.hcadirect.net
  • FHIR API: https://fhir-usa.unify.chbase.com/org/candler-47b034e8

Organizations & group practices 4

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 3

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": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1992249635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 E 65TH ST STE 4",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CANDLER DR STE 300",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056091",
            "telephone_number": "912-354-6187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "459 Hwy 119 S Ste B",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "GA",
            "postal_code": "313293021",
            "country_code": "US",
            "telephone_number": "912-754-2560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Waters Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314046220",
            "country_code": "US",
            "telephone_number": "912-354-6187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5353 Reynolds St",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314056015",
            "country_code": "US",
            "telephone_number": "912-354-6187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1497 Fair Rd Ste 311",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304580828",
            "country_code": "US",
            "telephone_number": "912-354-6187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "459 Hwy 119 S",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "GA",
            "postal_code": "313293021",
            "country_code": "US",
            "telephone_number": "912-754-2560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "159 W Railroad St, Bldg B",
            "address_purpose": "LOCATION",
            "city": "Pembroke",
            "state": "GA",
            "postal_code": "31321",
            "country_code": "US",
            "telephone_number": "912-354-6187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1499 Fair Rd",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304581683",
            "country_code": "US",
            "telephone_number": "912-354-6187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11705 Mercy Blvd",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314191711",
            "country_code": "US",
            "telephone_number": "912-354-6187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOZLOWSKI",
        "first_name": "RANDI",
        "middle_name": "CAROLINE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN206907",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN206907",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkozlowski49917@epicsav.hcadirect.net",
            "affiliation": "N",
            "address_1": "4700 Waters Ave",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314046220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.