RANDAL CRAIG HUMPHREY (NPI# 1053480178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053480178 |
| Entity Type | Individual |
| Full Name | RANDAL CRAIG HUMPHREY |
| Credential | R,CT |
| Practice Address |
1201 13th Ave Se Decatur AL 35601-4300 |
| Mailing Address |
3026 Gum Pond Rd Baileyton AL 35019-7014 |
| Practice Telephone | 2563507779 |
| Practice Fax Number | 2563502272 |
| Mailing Telephone | 2563507779 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 247100000X | Radiologic Technologist | 313224 | Technologists, Technicians & Other Technical Service Providers | |
| X | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
313224 | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1201 13TH AVE SE |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003831900 | G Dwayne Gann | Radiologic Technologist | 1201 13th Ave Se, Decatur, AL 35601-4300 | 2006-07-12 |
| 1023247145 | Mitra H Bridwell | Radiologic Technologist | 1201 13th Ave Se, Decatur, AL 35601-4300 | 2009-07-10 |
| 1063585727 | Amanda L Burke | Radiologic Technologist | 1201 13th Ave Se, Decatur, AL 35601-4300 | 2006-11-17 |
| 1316962319 | James Mathew Dixon | Radiologic Technologist | 1201 13th Ave Se, Decatur, AL 35601-4300 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114167319 | Shaunda Marie Farrington | Radiologic Technologist | 1250 Woodridge Ct, Decatur, IL 62526-1390 | 2009-02-27 |
| 1003831900 | G Dwayne Gann | Radiologic Technologist | 1201 13th Ave Se, Decatur, AL 35601-4300 | 2006-07-12 |
| 1265624803 | Ifeoluwapo Florence Adeyemi | Radiologic Technologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2007-08-17 |
| 1346430857 | Neal Clark | Radiologic Technologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2007-07-31 |
| 1073722930 | Carlos L Mayes | Radiologic Technologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2007-05-21 |
| 1063585727 | Amanda L Burke | Radiologic Technologist | 1201 13th Ave Se, Decatur, AL 35601-4300 | 2006-11-17 |
| 1316962319 | James Mathew Dixon | Radiologic Technologist | 1201 13th Ave Se, Decatur, AL 35601-4300 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891077723 | Panya J Holmes | Radiologic Technologist | 5075 Dawes Rd, Grand Bay, AL 36541-3219 | 2011-09-16 |
| 1326066184 | David Paul Johnson | Radiologic Technologist | 12119 Us Highway 431, Guntersville, AL 35976-9344 | 2006-07-18 |
| 1710919691 | William Richard Daniel | Radiologic Technologist | 12119 Us Highway 431 South, Guntersville, AL 35976 | 2006-07-07 |
| 1013531367 | Matt Donald Paulson | Radiologic Technologist | 3719 Dauphin St, Mobile, AL 36608-1753 | 2020-06-02 |
| 1194347450 | Nathan Perry | Radiologic Technologist | 1802 6th Ave S, Birmingham, AL 35233-1932 | 2020-05-09 |
| 1457765729 | Brandon Cheadle | Radiologic Technologist | Lyster Army Health Clinic, Bldg 301 Andrews Ave, Fort Rucker, AL 36362-5333 | 2014-06-16 |
| 1831501485 | Evangelina Perez | Radiologic Technologist | 301 Andrews Ave, Lyster Army Health Clinic Bldg, Fort Rucker, AL 36362 | 2014-05-29 |
| 1558627414 | Collin Conroy Bailey | Radiologic Technologist | 215 Perry Hill Rd, Department of Veterans Affairs Central Alabama, Montgomery, AL 36109 | 2012-04-05 |
| 1588753297 | High Tech Imaging Center Inc | Radiologic Technologist | 1510 Forest Ave, Suite B, Montgomery, AL 36106-1517 | 2006-10-12 |
| 1073605762 | Lauderdale Radiology Group | Radiologic Technologist | 1701 Veterans Drive, Florence, AL 35630 | 2006-09-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.