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M. BARRY RANDALL M.D.
NPI 1124002175
Pathology - Dermatopathology in Memphis, TN

Active since December 02, 2005PECOS Enrolled
930 MADISON AVE, SUITE 890, MEMPHIS, TN 38103(901) 866-8834(901) 302-2834 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 25, 2025, Sep 17, 2024, Oct 18, 2018 (3 updates tracked since 2018).

About M. Barry Randall M.d. NPPES

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

M. BARRY RANDALL M.D. (NPI 1124002175) is an individual dermatopathology provider in Memphis, Tennessee, licensed in Tennessee (29321) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124002175
Entity TypeIndividualMale
Primary Taxonomy207ZD0900X
Provider Legal NameM. BARRY RANDALLCredential: M.D.
Location Address930 MADISON AVE, SUITE 890Memphis, TN 38103-3410
Mailing Address1068 Cresthaven Rd Ste 300Memphis, TN 38119-0809
Phone(901) 866-8834
Fax(901) 302-2834
Sole ProprietorNo
Enumeration DateDecember 2, 2005
Last NPPES UpdateFebruary 25, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
✔ NPI 1124002175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZD0900X
License✔ Licensed in TN · 29321
Definition
A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 29321 (TN)
930 MADISON AVE, Memphis, TN 38103
Open in Google Maps ↗

Other Identifiers 3

Medicaid133395001AR
Medicaid0121423MS
Medicaid1532078TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Health Advantage, Molina Healthcare 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)

M. Barry Randall 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 Reassignments

2

Medicare enrollment records show M. Randall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shelby County Health Care Corporation
0.2 mi
Anatomic Pathology & Clinical Pathology
877 JEFFERSON AVE
Memphis, TN 38103
  • Reassigned Medicare billing, Tennessee enrollment
  • 59 clinicians in this Medicare group
NPI 1780685750 (901) 545-8336
Ut Medical Group Inc
9.2 mi
Multi-Specialty
1068 CRESTHAVEN RD STE 300
Memphis, TN 38119
  • Reassigned Medicare billing, Tennessee enrollment
  • 157 clinicians in this Medicare group
NPI 1780676650 (901) 866-8864

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 38103 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 12

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

DR. ANDRZEJ T SLOMINSKI M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
930 MADISON AVE, SUITE 500
MEMPHIS, TN 38103
Shelby County (901) 725-7551
ALIYAH HANKS
Student in an Organized Health Care Education/Training Program
930 MADISON AVE
MEMPHIS, TN 38103
Shelby County (901) 448-8393
WARREN THURMAN
Student in an Organized Health Care Education/Training Program
930 MADISON AVE
MEMPHIS, TN 38103
Shelby County (901) 448-6650
TANEESHA MASCHELLE MCGOWAN
Occupational Therapist
930 MADISON AVE
MEMPHIS, TN 38103
Shelby County (901) 900-1601
LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
930 MADISON AVE, 5TH FLOOR
MEMPHIS, TN 38103
Shelby County (901) 448-6379
MARY E HOEHN MD
Ophthalmology
930 MADISON AVE, SUITE 200
MEMPHIS, TN 38103
Shelby County (901) 448-6650
ENSAR AVDIC
Student in an Organized Health Care Education/Training Program
930 MADISON AVE
MEMPHIS, TN 38103
Shelby County (901) 448-6344
DR. JOHN STANSILL COVINGTON III DDS
Dentist (General Practice)
930 MADISON AVE, SUITE 600
MEMPHIS, TN 38103
Shelby County (901) 448-8609

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 M. Randall's NPI number?

The NPI number for M. Randall is 1124002175. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is M. Randall located?

M. Randall practices at 930 Madison Ave Suite 890, Memphis, TN 38103. The listed phone number is (901) 866-8834.

What is M. Randall's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Is M. Randall enrolled in Medicare?

Yes. M. Randall is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for M. Randall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), M. Randall reassigns Medicare benefits to 2 organizations: Shelby County Health Care Corporation (Memphis, TN) and Ut Medical Group Inc (Memphis, TN). Each 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 M. Randall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does M. Randall accept?

Health plans from Cigna Healthcare, Health Advantage, Molina Healthcare, Octave and Oscar Health Plan, Inc. and 1 other insurer list M. Randall 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 M. Randall was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.