ERICH GRAHAM RANDOLPH (NPI# 1598703456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598703456 |
| Entity Type | Individual |
| Full Name | ERICH GRAHAM RANDOLPH |
| Credential | MD |
| Practice Address |
320 Parkway Dr Ne 300 Atlanta GA 30312-1213 |
| Mailing Address |
1072 W Peachtree St Nw Unit 77114 Atlanta GA 30357-3016 |
| Practice Telephone | 4045226569 |
| Practice Fax Number | 4045228265 |
| Mailing Telephone | 4043002476 |
| Mailing Fax Number | 4042508010 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2019-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 021790 | GA | Other Service Providers |
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
021790 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE PROVIDER ID | 92BBGBZ | 01 |
| GA | 000305951N | 05 | |
| GA | 000305951Q | 05 | |
| GA | 000305951P | 05 | |
| GA | 000305951S | 05 | |
| GA | 000305951R | 05 | |
| GA | 000305951T | 05 | |
| GA | 000305951M | 05 | |
| GA | 000305951O | 05 | |
| GA | 000305951L | 05 |
| Street Address |
320 PARKWAY DR NE 300 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30312-1213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982658530 | Dale Lynn Mccord | Radiology | 320 Parkway Dr Ne, Atlanta, GA 30312-1213 | 2006-05-19 |
| 1700496981 | Debra Beckum | Nurse Practitioner | 320 Parkway Dr Ne, Atlanta, GA 30312-1213 | 2020-08-03 |
| 1013468669 | Aoa Amc, LLC | Clinic/Center | 320 Parkway Dr Ne, Atlanta, GA 30312-1213 | 2016-10-19 |
| 1013254283 | Andrea Mccarthy | Nurse Practitioner | 320 Parkway Dr Ne, Atlanta, GA 30312-1213 | 2013-01-08 |
| 1821349994 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 320 Parkway Dr Ne, Suite 208, Atlanta, GA 30312-1213 | 2012-09-28 |
| 1831428044 | Atlanta Oncology Associates At Atlanta Medical Center | Specialist | 320 Parkway Dr Ne, Atlanta, GA 30312-1213 | 2009-12-17 |
| 1487899100 | Georgia Cancer Specialists I PC | Internal Medicine | 320 Parkway Dr Ne, Suite 208, Atlanta, GA 30312-1213 | 2008-12-09 |
| 1225200355 | Roberta Lynne Dorsey | Massage Therapist | 320 Parkway Dr Ne, Ste 400, Atlanta, GA 30312-1213 | 2008-03-28 |
| 1043497621 | Tranquility Salon & Spa | Prosthetic/Orthotic Supplier | 320 Parkway Dr Ne, 4th Floor, Atlanta, GA 30312-1213 | 2008-01-26 |
| 1316136682 | Midtown Gyn Oncology LLC | Obstetrics & Gynecology | 320 Parkway Dr Ne, Suite 244, Atlanta, GA 30312-1213 | 2007-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
| 1609439629 | Adeyinka Edward Adeniyi | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center, 303 Parkway Drive Ne, 4th Floor, Internal Medicine Department, Atlanta, GA 30312 | 2019-04-16 |
| 1003378670 | James Spratt IIi | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Ne, 4th Floor, Wellstar Atlanta Medical Center Department of Orthopaed, Atlanta, GA 30312 | 2019-04-03 |
| 1659833440 | Derrick Edward Wendler | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center Dpt of Orthopaedics, 303 Parkway Drive Ne, 4th Floor, Atlanta, GA 30312 | 2019-04-02 |
| 1336631266 | The Atlanta Small Business Training Consortium, Inc. | Local Education Agency (LEA) | 250 Georgia Ave Se Ste 207a, Atlanta, GA 30312 | 2018-06-06 |
| 1669960134 | Derek Mccranie | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Atlanta, FL 30312 | 2018-04-30 |
| 1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
| 1730689183 | Lisa Marie Margavage | Chiropractor | 720 Ralph Mcgill Blvd Ne Unit 210, Atlanta, GA 30312 | 2018-02-12 |
| 1922518836 | Rodney Aldridge | Registered Nurse | 250 Georgia Avenue, Suite 206, Atlanta, GA 30312 | 2017-10-05 |
| 1629599279 | Huda Hashim Elsamani Elsheikh | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Wellstar Atlanta Medical Center, Dept of Graduate Medical Education, Internal Medicine, Atlanta, GA 30312 | 2017-07-05 |
| Find all providers in zip 30312 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023301082 | Jolinta Lin | Radiology | The Emory Clinic Dept of Radiation Oncology, 1365 Clifton Road, Ne, Atlanta, GA 30322-0001 | 2011-05-25 |
| 1275710899 | Shannon Tucker Kahn | Radiology | 639 Kimberly Ln Ne, Atlanta, GA 30306-2224 | 2008-01-25 |
| 1295924801 | Brian Wise Weaver | Radiology | 1355 Heatherland Dr Sw, Atlanta, GA 30331-7460 | 2007-10-19 |
| 1043367865 | David Yu | Radiology | Emory Department of Radiation Oncology, 1365 Clifton Road, Ne, Atlanta, GA 30322-0001 | 2007-01-04 |
| 1093878787 | James H. Whitehurst | Radiology | 1100 W Peachtree St Nw Ste 100, Atlanta, GA 30309-3609 | 2006-12-18 |
| 1477597656 | Bruce Warren Hershatter | Radiology | Department of Radiation Oncology/emory University, 1320 Clifton Road, Atlanta, GA 30322 | 2006-06-16 |
| 1982658530 | Dale Lynn Mccord | Radiology | 320 Parkway Dr Ne, Atlanta, GA 30312-1213 | 2006-05-19 |
| 1528049087 | Radiation Oncology of Atlanta, LLC | Radiology | 1000 Johnson Ferry Rd, Ne, Northside Radiation Oncology Department, Atlanta, GA 30342-1606 | 2005-11-10 |
| 1487655528 | Thomas Wilson Phillips | Radiology | 20 Glenlake Pkwy, Radiation Oncology, Atlanta, GA 30328 | 2005-08-10 |
| 1568928281 | Roma, LLC | Radiology | 1110 W Peachtree St Nw Ste 100, Atlanta, GA 30309-3609 | 2019-02-19 |
| Find all providers in ATLANTA | ||||
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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.