NPIMap

Organization Active NPI

Michael D. Randell, M.D., P.C.

  • Specialist
  • Atlanta, GA
National Provider Identifier
1992885586
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
040200 Issued in GA
Legal business name
MICHAEL D. RANDELL, M.D., P.C.
Practice address
5667 Peachtree Dunwoody Rd Ste 280
Atlanta, GA 30342-1714
Phone
(404) 250-4443
Fax
(404) 250-4423
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Authorized official

Name
Michael David Randell, MDNPI 1700801206
Title
President
Phone
(404) 250-4443

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 040200 GA Primary

Addresses

Primary practice location

5667 Peachtree Dunwoody Rd Ste 280
Atlanta, GA 30342-1714

Mailing address

5667 Peachtree Dunwoody Rd Ste 280
Atlanta, GA 30342-1714
Phone (404) 250-4443

Other practice location 1

980 Johnson Ferry Rd NE Ste 230
Atlanta, GA 30342-1623
Phone (404) 250-4443

Other identifiers 1

IdentifierTypeStateIssuer
000676629EMedicaidGA

Other names 1

  • OBGYN Atlanta Doing business as

National Provider Directory

National Provider Directory

Locations

993 Johnson Fy Rd NE
Ste 200
Sandy Springs, GA 30342
Phone (404) 250-3600

980 Johnson Ferry Rd
Ste 230
Sandy Springs, GA 30342
Phone (404) 250-4443

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1992885586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5667 PEACHTREE DUNWOODY RD STE 280",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421714",
            "telephone_number": "404-250-4443",
            "fax_number": "404-250-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5667 PEACHTREE DUNWOODY RD STE 280",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421714",
            "telephone_number": "404-250-4443",
            "fax_number": "404-250-4423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "980 Johnson Ferry Rd NE Ste 230",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421623",
            "country_code": "US",
            "telephone_number": "404-250-4443",
            "fax_number": "404-250-4423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAEL D. RANDELL, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "RANDELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-250-4443",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "040200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000676629E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OBGYN Atlanta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.