RANDALL PROVOST MD NPI 1003873456

Internal Medicine in Sylva, NC

About RANDALL PROVOST

Randall Provost is a provider in Sylva, NC with more than 38 years of experience. The NPI number assigned to this provider is 1003873456. The practitioner's primary taxonomy code is Internal Medicine (207R00000X). The provider is registered as an individual and their NPI record was last updated 5 years ago. Randall Provost is registered with Medicare and accepts claims assignment.

NPI1003873456 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name RANDALL PROVOST MD
Provider Location Address98 DOCTORS DR SUITE 200 SYLVA, NC 28779 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address98 DOCTORS DR STE 200 SYLVA, NC 28779 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameMEDICAL COLLEGE OF GEORGIA
Graduation Year1980
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-28-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date09-04-2012 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

RANDALL PROVOST MD
98 DOCTORS DR
SUITE 200
SYLVA, NC
ZIP 28779
Phone: (828) 586-8971
Fax: (828) 586-4083
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Mailing Address

RANDALL PROVOST MD
98 DOCTORS DR
STE 200
SYLVA, NC
ZIP 28779
Phone: (828) 586-8971
Fax: (828) 586-4083

Primary Taxonomy

Taxonomy Code207R00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.32835
License StateNC
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
7969355MEDICAID (05)NC
209737MEDICARE ID-TYPE UNSPECIFIED (04)NC
C86071MEDICARE UPIN (02)NC

Map Location


RANDALL PROVOST MD address is 98 DOCTORS DR SUITE 200 SYLVA, NC 28779

Other Providers at the same location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265537914DR. JAMES CLAYTON SMALLWOOD M.D.
Individual
Obstetrics & Gynecology98 DOCTORS DR SUITE 320
SYLVA, NC 28779
(828) 631-8913
1265706675HARRIS REGIONAL HOSPITAL, INC
Organization
Surgery98 DOCTORS DR SUITE 320B
SYLVA, NC 28779
(828) 631-8913
1376797472DR. NICHOLAS ALLEN JERNIGAN M.D.
Individual
Pediatrics98 DOCTORS DR STE 300
SYLVA, NC 28779
(828) 586-9642
1427103472 CHARLES H TOLEDO M.D.
Individual
Pediatrics98 DOCTORS DR SUITE 300
SYLVA, NC 28779
(828) 586-9642
1548254907MS. N LOUISE JONES PAC CWS
Individual
Physician Assistant98 DOCTORS DR SUITE 200
SYLVA, NC 28779
(828) 586-8971
1609281641DLP WESTERN CAROLINA PHYSICIAN PRACTICES LLC
Organization
Family Medicine98 DOCTORS DR
SYLVA, NC 28779
(828) 586-8971
1659321057MRS. JENNIFER JANE GIRSKIS MS, PA-C
Individual
Physician Assistant98 DOCTORS DR STE 100
SYLVA, NC 28779
(828) 631-8755
1669828885 KRYSTLE THOMAS HOLT LDN
Individual
Dietitian, Registered98 DOCTORS DR SUITE 200
SYLVA, NC 28779
(828) 586-8971
1689944357HARRIS REGIONAL HOSPITAL, INC
Organization
Obstetrics & Gynecology (Gynecology)98 DOCTORS DR STE 320
SYLVA, NC 28779
(828) 631-8913
1710165782 JAMES LEE LEDFORD PA-C
Individual
Physician Assistant98 DOCTORS DR STE 200
SYLVA, NC 28779
(828) 586-8971
1760440812 STEVEN W QUEEN MD
Individual
Internal Medicine98 DOCTORS DR SUITE 200
SYLVA, NC 28779
(828) 586-8971
1760487334DR. WILLIAM JUDSON NOELL JR. MD
Individual
Surgery98 DOCTORS DR SUITE 320B
SYLVA, NC 28779
(828) 631-8913
1760741169DR. JOSHUA BARAM ALWEISS M.D.
Individual
Pediatrics98 DOCTORS DR SUITE 300
SYLVA, NC 28779
(828) 586-9642
1801031109MRS. TIFFANY WATSON COUNCILL ACNP-BC
Individual
Nurse Practitioner (Acute Care)98 DOCTORS DR SUITE 100
SYLVA, NC 28779
(828) 586-3976
1831192806 MARIA I PASNICIUC MD
Individual
Internal Medicine98 DOCTORS DR SUITE 200
SYLVA, NC 28779
(828) 586-8971
1851718688NEW MOUNTAIN EYE ASSOCIATES, PLLC.
Organization
Ophthalmology98 DOCTORS DR SUITE 200
SYLVA, NC 28779
(828) 631-8823
1942200084DR. JEROME M MARCHUK MD
Individual
Urology98 DOCTORS DR SUITE 100
SYLVA, NC 28779
(828) 631-8755
1992762447 LEE ANN MANTHORNE DO
Individual
Internal Medicine98 DOCTORS DR STE 200
SYLVA, NC 28779
(828) 586-8971