MR. RANDY GUY FNP
NPI 1063913465
Nurse Practitioner - Family in Jackson, TN
About Mr. Randy Guy Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RANDY GUY FNP (NPI 1063913465) is an individual family provider in Jackson, Tennessee, licensed in Tennessee (23913) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Randy Guy Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Randy Guy's NPI number?
The NPI number for Randy Guy is 1063913465. It was assigned to this individual provider in the NPPES registry on February 22, 2018.
Where is Randy Guy located?
Randy Guy practices at 180 Old Hickory Blvd Ste L, Jackson, TN 38305. The listed phone number is (731) 661-2750.
What is Randy Guy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Randy Guy enrolled in Medicare?
Yes. Randy Guy is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Randy Guy was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Randy Guy, FNP · NPI 1063913465
Family physician in Jackson, Tennessee. Individual provider, active in the CMS NPPES registry since February 22, 2018.
## Identity
- **NPI:** 1063913465 (Entity type: Individual)
- **Enumerated:** February 22, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 23913 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 180 OLD HICKORY BLVD STE L, Jackson, TN 38305-2500
- **Phone:** (731) 661-2750
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1063913465) · Data from the CMS NPPES public registry.