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RANDOLPH HEALTH FAMILY PRACTICE
NPI 1114195468
Family Medicine in Seagrove, NC

Active since February 20, 2008CLIA 34D0906096 · Microscopy
514 N BROAD ST, SEAGROVE, NC 27341(336) 873-8045(336) 873-9074 Get Directions Write a Review

NPPES record last updated: February 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 21, 2020, Jan 26, 2017 (2 updates tracked since 2017).

About Randolph Health Family Practice NPPES

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

RANDOLPH HEALTH FAMILY PRACTICE (NPI 1114195468) is a healthcare organization registered as a family medicine in Seagrove, North Carolina and active in the NPI registry since February 2008. The organization holds a CLIA Microscopy certificate valid through September 27, 2027 and lists Robert Scott Clauser, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1114195468
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRANDOLPH SPECIALTY GROUP PRACTICE
Location Address514 N BROAD STSeagrove, NC 27341-8583
Mailing AddressPo Box 5418Asheboro, NC 27204-5418 · (336) 625-2333 · Fax (336) 625-5511
Phone(336) 873-8045
Fax(336) 873-9074
Organization SubpartNo
Authorized OfficialRobert Scott ClauserExecutive Director · (336) 625-2333
Enumeration DateFebruary 20, 2008
Last NPPES UpdateFebruary 21, 20202 updates tracked since enumeration
✔ NPI 1114195468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
514 N BROAD ST, Seagrove, NC 27341
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Other Names 1

Doing Business AsRandolph Health Family Practice

Other Identifiers 2

Medicaid5900587NC
Other0248RNC · Bcbs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D0906096

American Healthcare Systems Dba Randolph Health Family Practice - Seagrove · Seagrove, NC
Active · expires Sep 27, 2027
CLIA Number34D0906096
Laboratory TypePhysician Office
Certificate Effective DateSeptember 28, 2025
Certificate Expiration DateSeptember 27, 2027
Laboratory DirectorAnna S. Potts
Laboratory Phone(910) 873-8045
Laboratory LocationAmerican Healthcare Systems Dba Randolph Health Family Practice - Seagrove514 N Broad St, Seagrove, NC 27341
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

AMERICAN HEALTHCARE SYSTEMS, LLC
Family Medicine
514 N BROAD ST
SEAGROVE, NC 27341
Randolph County (336) 873-8045
MELISA WALLACE PERRY FNP-C
Nurse Practitioner (Family)
514 N BROAD ST
SEAGROVE, NC 27341
Randolph County (336) 873-8045
MR. JOHN F GAGE MD
Family Medicine
514 N BROAD ST
SEAGROVE, NC 27341
Randolph County (336) 873-8045

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 Randolph Specialty Group Practice's NPI number?

The NPI number for Randolph Specialty Group Practice is 1114195468. It was assigned to this organization in the NPPES registry on February 20, 2008. The provider is doing business as Randolph Health Family Practice.

Where is Randolph Specialty Group Practice located?

Randolph Specialty Group Practice is located at 514 N Broad St, Seagrove, NC 27341. The listed phone number is (336) 873-8045.

What is Randolph Specialty Group Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Randolph Specialty Group Practice hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0906096) is associated with this NPI, valid through September 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Randolph Specialty Group Practice was last updated on February 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.