DR. TABITHA MARTINEZ RANDOL M.D.
NPI 1073548913
Pediatrics in Taylors, SC

Q: What is Tabitha Randol's NPI number?

The NPI number for Tabitha Randol is 1073548913. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Q: What is Tabitha Randol's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Tabitha Randol was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 11, 2006PECOS Enrolled

4501 OLD SPARTANBURG RD, SUITE 9, TAYLORS, SC 29687(864) 292-8868 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Tabitha Martinez Randol M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TABITHA MARTINEZ RANDOL M.D. (NPI 1073548913) is an individual pediatrics provider in Taylors, South Carolina, licensed in South Carolina (27090) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073548913

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. TABITHA MARTINEZ RANDOLCredential: M.D.

Location Address4501 OLD SPARTANBURG RD, SUITE 9Taylors, SC 29687-4105

Mailing Address4501 Old Spartanburg Rd, Suite 9Taylors, SC 29687-4105 · (864) 292-8868

Phone(864) 292-8868

Sole ProprietorNo

Enumeration DateJuly 11, 2006

Last NPPES UpdateSeptember 26, 2022

NPPES CertifiedSeptember 26, 2022

✔ NPI 1073548913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in SC · 27090

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4501 OLD SPARTANBURG RD, Taylors, SC 29687

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Other Identifiers 1

Medicaid270904SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tabitha Martinez Randol M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tabitha Randol reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prisma Health University Medical Group

Same address

Pediatrics

4501 OLD SPARTANBURG RD STE 9
Taylors, SC 29687

Reassigned Medicare billing, South Carolina enrollment
3,281 clinicians in this Medicare group

NPI 1801524392 (864) 292-8868

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29687 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN B EBERLY M.D.

Family Medicine

4501 OLD SPARTANBURG RD
TAYLORS, SC 29687

Greenville County (864) 268-1119

DR. JEFFREY MARTIN PHILLIPS M.D.

Pediatrics

4501 OLD SPARTANBURG RD, SUITE 9
TAYLORS, SC 29687

Greenville County (864) 292-8868

BRIAN K FEW M.D.

Pediatrics (Adolescent Medicine)

4501 OLD SPARTANBURG RD, SUITE 9
TAYLORS, SC 29687

Greenville County (864) 292-8868

MRS. CHERYL DAVIS RIGDON M.S.P. CCC-SLP

Speech-Language Pathologist

4501 OLD SPARTANBURG RD
TAYLORS, SC 29687

Greenville County (864) 244-3476

ST FRANCIS PHYSICIAN SERVICES INC

Family Medicine

4501 OLD SPARTANBURG RD
TAYLORS, SC 29687

Greenville County (864) 268-1119

CAROLYN GARDNER SCHULTZ M.D.

Pediatrics

4501 OLD SPARTANBURG RD, SUITE 9
TAYLORS, SC 29687

Greenville County (864) 292-8868

ROY A MAGES M.D.

Pediatrics (Adolescent Medicine)

4501 OLD SPARTANBURG RD, SUITE 9
TAYLORS, SC 29687

Greenville County (864) 292-8868

EASTSIDE PEDIATRICS PA

Pediatrics

4501 OLD SPARTANBURG RD, SUITE 9
TAYLORS, SC 29687

Greenville County (864) 292-8868

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 Tabitha Randol's NPI number?

The NPI number for Tabitha Randol is 1073548913. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Tabitha Randol located?

Tabitha Randol practices at 4501 Old Spartanburg Rd Suite 9, Taylors, SC 29687. The listed phone number is (864) 292-8868.

What is Tabitha Randol's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tabitha Randol enrolled in Medicare?

Yes. Tabitha Randol is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tabitha Randol's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tabitha Randol reassigns Medicare benefits to Prisma Health University Medical Group (Taylors, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tabitha Randol's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tabitha Randol accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health list Tabitha Randol as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tabitha Randol was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.