DR. MICHAEL DAVID RANDELL (NPI# 1700801206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700801206 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DAVID RANDELL |
| Credential | M.D. |
| Practice Address |
5667 Peachtree Dunwoody Rd Ste 280 Atlanta GA 30342-1714 |
| Practice Telephone | 4042504443 |
| Practice Fax Number | 4042504423 |
| Mailing Telephone | 4042504443 |
| Mailing Fax Number | 4042504423 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2019-03-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
40200 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000676629E | 05 | |
| GA | STATE LIECENCE | 040200 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 980 Johnson Ferry Rd Ne Ste 230, Atlanta, GA 303421623 | 4042504443 | 4042504423 |
| Street Address |
5667 PEACHTREE DUNWOODY RD STE 280 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992885586 | Michael D. Randell, M.d., P.C. | Specialist | 5667 Peachtree Dunwoody Rd Ste 280, Atlanta, GA 30342-1714 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
| 1871865113 | Candace Marvenia Tillman | Obstetrics & Gynecology | 477 Windsor St. Sw, Ste. 309, Atlanta, GA 30312 | 2012-02-02 |
| 1780904896 | Jana Dopson Illston | Obstetrics & Gynecology | 980 Johnson Fy Rd Ne Ste 720, Atlanta, GA 30342-1628 | 2010-06-11 |
| 1730362732 | Eldred Bernard Taylor | Obstetrics & Gynecology | 5901 Peachtree Dunwoody Rd Ne # C, Suite 25, Atlanta, GA 30328-5382 | 2007-12-12 |
| 1528276904 | Jean V Longley | Obstetrics & Gynecology | 6195 Heards Creek Dr Nw, Atlanta, GA 30328-3653 | 2007-05-18 |
| 1134342744 | Beverly Goode Douglas | Obstetrics & Gynecology | 1046 Lenox Crst Ne, Atlanta, GA 30324-2700 | 2007-04-11 |
| 1669571295 | Lisa Flowers | Obstetrics & Gynecology | 49 Jesse Hill Jr Dr Se Fl 3, Atlanta, GA 30303-3049 | 2006-09-21 |
| 1346273364 | Carl W Sherrer | Obstetrics & Gynecology | 77 Collier Rd Nw Ste 2010, Atlanta, GA 30309-1754 | 2006-07-10 |
| 1245298082 | Nathan Mordel | Obstetrics & Gynecology | 105 Collier Rd, Ste 1010, Atlanta, GA 30309 | 2006-05-02 |
| 1982669891 | Kenneth M Twiddy | Obstetrics & Gynecology | 235 W. Wieuca Rd, Atlanta Women's Center, Atlanta, GA 30342 | 2006-04-20 |
| 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.