Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. TRACY LEIGH RANDOLPH M.S.
NPI 1124008305
Speech-Language Pathologist in Lilburn, GA

Q: What is Tracy Randolph's NPI number?

The NPI number for Tracy Randolph is 1124008305. It was assigned to this individual provider in the NPPES registry on January 22, 2006. The provider is also known as Tracy Leigh Maynard.

Q: What is Tracy Randolph's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Randolph was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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 January 22, 2006

4129 SHADY DR NW, LILBURN, GA 30047(770) 925-9543 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Tracy Leigh Randolph M.s. NPPES

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

MRS. TRACY LEIGH RANDOLPH M.S. (NPI 1124008305) is an individual speech-language pathologist provider in Lilburn, Georgia and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1124008305

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. TRACY LEIGH RANDOLPHCredential: M.S.

Location Address4129 SHADY DR NWLilburn, GA 30047-2647

Mailing Address3768 Hickory Manor DrSuwanee, GA 30024-6417 · (770) 831-2726

Phone(770) 925-9543

Sole ProprietorNo

Enumeration DateJanuary 22, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1124008305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

4129 SHADY DR NW, Lilburn, GA 30047

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Other Names 1

Former Name (1)Tracy Leigh Maynard

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 Tracy Randolph's NPI number?

The NPI number for Tracy Randolph is 1124008305. It was assigned to this individual provider in the NPPES registry on January 22, 2006. The provider is also known as Tracy Leigh Maynard.

Where is Tracy Randolph located?

Tracy Randolph practices at 4129 Shady Dr NW, Lilburn, GA 30047. The listed phone number is (770) 925-9543.

What is Tracy Randolph's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Tracy Randolph was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.