RANDOLPH P COUSINS (NPI# 1730260019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730260019 |
| Entity Type | Individual |
| Full Name | RANDOLPH P COUSINS |
| Credential | PA |
| Practice Address |
7301 Blackmon Rd Columbus GA 31909-4478 |
| Practice Telephone | 7065682700 |
| Practice Fax Number | 7065682705 |
| Mailing Telephone | 7065682700 |
| Mailing Fax Number | 7065682705 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
004428 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LICENSE NUMBER | 004428 | 01 |
| Street Address |
7301 BLACKMON RD |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31909-4478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134162720 | Gail Lynch | Nurse Practitioner | 7301 Blackmon Rd, Columbus, GA 31909-4478 | 2006-06-13 |
| 1558682880 | Ella Cecilia Amador | Family Medicine | 7301 Blackmon Rd, Columbus, GA 31909-4478 | 2010-06-22 |
| 1932280229 | Columbus Dermatology, PC | Clinic/Center | 7301 Blackmon Rd, Columbus, GA 31909-4478 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747403 | Abundant Heart Healthcare Solution, LLC | Adult Companion | 6361 Talokas Lane, Ste C 140-279, Columbus, GA 31909 | 2020-07-14 |
| 1477185791 | Shandis Denise Phaneuf | Licensed Practical Nurse | 6545 Gregg Dr, Columbus, GA 31909 | 2020-02-05 |
| 1164086203 | Brock Musick | Physical Therapist | 100 First Court, Columbus, GA 31909 | 2019-04-24 |
| 1407340037 | Courtney Patterson | Behavior Technician | 5900 Warm Springs Road, Suite J, Columbus, GA 31909 | 2018-06-18 |
| 1225543515 | Oral & Facial Surgery of East Alabama, LLC | Dentist | 4405 N Stadium Drive, Suite A, Columbus, GA 31909 | 2017-12-08 |
| 1528577368 | Courtney Anne Young | Nurse Practitioner | 2700 Double Churches Rd, Apt 1207, Columbus, GA 31909 | 2017-09-25 |
| 1427573542 | Megan Renee Kwon | Dietitian, Registered | 4343 Warm Springs Road Apt. 110, Columbus, GA 31909 | 2017-08-09 |
| 1942659305 | Stephanie Mcghee | Dental Hygienist | 4835 Turnberry Lane, Columbus, GA 31909 | 2016-06-07 |
| 1770932162 | Tammy Allen | Dental Assistant | 701 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| 1003265406 | Rhonda Mills | Dental Assistant | 7101 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| Find all providers in zip 31909 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972960359 | Autumn Combs | Physician Assistant | 437 N Gould Rd Apt F, Columbus, OH 43209-1139 | 2016-01-15 |
| 1740665926 | Julianne Gonzalez | Physician Assistant | 350 Manchester Expy, Columbus, GA 31904-6435 | 2015-07-29 |
| 1629461165 | Michael Bryant | Physician Assistant | 911 Rudgate Rd, Columbus, GA 31904-2948 | 2015-03-09 |
| 1174880447 | Ricky Lee Martin Jr. | Physician Assistant | 2326 18th St Ste 210, Columbus, IN 47201-5362 | 2012-04-11 |
| 1710068374 | April K Howell | Physician Assistant | 2008 Wynnton Rd, Columbus, GA 31906-2407 | 2006-10-18 |
| 1124035399 | Diane L. Mitchell | Physician Assistant | 1130 Talbotton Rd, Columbus, GA 31904-8749 | 2006-08-01 |
| 1194752790 | Karen L Goodale | Physician Assistant | 2881 Nc Hwy 108 E, Columbus, NC 28722-7721 | 2006-06-27 |
| 1164469979 | Mark H Epps | Physician Assistant | 2000 10th Ave Ste 270, Columbus, GA 31901-3706 | 2006-06-01 |
| 1164484689 | Jim Lawrence Mcevers | Physician Assistant | 109 Shult Dr, Suite 101, Columbus, TX 78934-3015 | 2006-04-03 |
| 1972586287 | Susan A Farwell | Physician Assistant | 45 E Mills St, Columbus, NC 28722 | 2005-11-22 |
| Find all providers in COLUMBUS | ||||
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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.