Randall O Provost (NPI# 1003873456, PAC ID# 6901793710) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1003873456 |
| PAC ID by PECOS | 6901793710 |
| Professional Enrollment ID | I20040304000258 |
| Full Name | Randall O Provost |
| Organization Legal Name | DLP WESTERN CAROLINA PHYSICIAN PRACTICES LLC |
| Address |
98 Doctors Dr Sylva NC 28779-4502 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1980 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9032338975 |
| Number of Group Practice Members | 114 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340016 | HARRIS REGIONAL HOSPITAL |
| 341305 | DLP SWAIN COUNTY HOSPITAL LLC |
| 341326 | ANGEL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 98 Doctors Dr, Sylva, NC 28779-4502 | DLP WESTERN CAROLINA PHYSICIAN PRACTICES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 43% | |
| MIPS_EC_331_overall | Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 93% | |
| MIPS_EC_333_overall | Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 0% |
| Organization Legal Name | DLP WESTERN CAROLINA PHYSICIAN PRACTICES LLC |
| Physicians | 119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua Kuo Wu | Family Medicine | Dlp Western Carolina Physician Practices LLC | 80 Healthcare Dr, Suite 203, Sylva, NC 28779-5146 |
| Kelly Lynne Mcalvany | Urology | Dlp Western Carolina Physician Practices LLC | 15 Brettwood Trce, Clyde, NC 28721-8021 |
| Leslie A Morris | Nurse Practitioner | Dlp Western Carolina Physician Practices LLC | 186 Medical Park Loop, Suite 503, Sylva, NC 28779-4110 |
| Carol Glenn Trent | Orthopedic Surgery | Dlp Western Carolina Physician Practices LLC | 581 Leroy George Dr, Suite 380, Clyde, NC 28721-8085 |
| James D Guerriere Jr. | Pediatric Medicine | Dlp Western Carolina Physician Practices LLC | 24 Falcon Crest Ln, Clyde, NC 28721-6620 |
| Kathleen J Walsh | Nurse Practitioner | Dlp Western Carolina Physician Practices LLC | 70 The Village Overlook, Sylva, NC 28779-2742 |
| Megan W Metcalf | Obstetrics/gynecology | Dlp Western Carolina Physician Practices LLC | 470 Ctr St, Bryson City, NC 28713-7752 |
| Clayton H Davis | Family Medicine | Dlp Western Carolina Physician Practices LLC | 55 Holly Springs Park Dr, Franklin, NC 28734-0719 |
| Joseph Anthony Niner | Obstetrics/gynecology | Dlp Western Carolina Physician Practices LLC | 35 Facility Dr, Clyde, NC 28721-9438 |
| Thomas Sanders Ward | Family Medicine | Dlp Western Carolina Physician Practices LLC | 1272 E St, Waynesville, NC 28786-3437 |
| Street Address |
98 DOCTORS DR |
| City | SYLVA |
| State | NC |
| Zip | 28779-4502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Parrish Watson | Physician Assistant | Dlp Western Carolina Physician Practices LLC | 98 Doctors Dr, Sylva, NC 28779-4502 |
| Emily T Jenkins | Nurse Practitioner | Dlp Western Carolina Physician Practices LLC | 98 Doctors Dr, Sylva, NC 28779-4502 |
| Dennis E Seely | Physician Assistant | Dlp Western Carolina Physician Practices LLC | 98 Doctors Dr, Sylva, NC 28779-4502 |
| John William Stringfield | Family Medicine | Dlp Western Carolina Physician Practices LLC | 98 Doctors Dr, Sylva, NC 28779-4502 |
| Nicholas A Jernigan | Pediatric Medicine | Dlp Western Carolina Physician Practices LLC | 98 Doctors Dr, Suite 300, Sylva, NC 28779-4503 |
| Michael Wayne Pass | Family Medicine | Dlp Western Carolina Physician Practices LLC | 98 Doctors Dr, Sylva, NC 28779-4502 |
| Elizabeth E Dixon | Internal Medicine | Dlp Western Carolina Physician Practices LLC | 98 Doctors Dr, Sylva, NC 28779-4502 |
| Staci Erin Shepard | Family Medicine | Dlp Western Carolina Physician Practices LLC | 98 Doctors Dr, Sylva, NC 28779-4502 |
| Kelly M Larson | Family Medicine | Dlp Western Carolina Physician Practices LLC | 98 Doctors Dr, Sylva, NC 28779-4502 |
| Margaret Suzanne Cagle | Physician Assistant | Dlp Western Carolina Physician Practices LLC | 98 Doctors Dr, Sylva, NC 28779-4502 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clifford H Mault | Internal Medicine | 12 Grindstaff Cove Rd, Sylva, NC 28779-2535 | |
| John Ross Ritchie | Psychologist, Clinical | 103 Sylvan Hts, Sylva, NC 28779-2543 | |
| John N Caplinger | Chiropractic | 218 Asheville Hwy, Sylva, NC 28779-2700 | |
| Diana Michelle Oakes | Nurse Practitioner | Mountain Kidney and Hypertension Associates, P.a. | 68 Hospital Rd, Sylva, NC 28779-2722 |
| Korey Popplewell | Nurse Practitioner | Sylva Emergency Group LLC | 68 Hospital Rd, Sylva, NC 28779-2722 |
| Mark Warren Mcclure | Urology | Dlp Western Carolina Physician Practices LLC | 68 Hospital Rd, Sylva, NC 28779-2722 |
| Joshua D Pratt | General Surgery | Dlp Western Carolina Physician Practices LLC | 68 Hospital Rd, Sylva, NC 28779-2722 |
| Ryan Baker | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 68 Hospital Rd, Sylva, NC 28779-2722 |
| Matthew Scott Wronsky | Physical Therapy | Dlp Western Carolina Physician Practices LLC | 68 Hospital Rd, Sylva, NC 28779-2722 |
| Heidi Orme | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 68 Hospital Rd, Sylva, NC 28779-2722 |
| Find all physicians in zip 28779 | |||
| City | SYLVA |
| Zip Code | 28779 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SYLVA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Randall O Provost.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.