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CLEVELAND W RANDOLPH JR. M.D.
NPI 1124014287
Specialist in Jacksonville Beach, FL

Active since September 23, 2005PECOS EnrolledAccepts Medicare Assignment
1891 BEACH BLVD, STE. 200, JACKSONVILLE BEACH, FL 32250(904) 249-3743(904) 249-2047 Get Directions Write a Review

NPPES record last updated: August 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cleveland W Randolph Jr. M.d. NPPES

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

CLEVELAND W RANDOLPH JR. M.D. (NPI 1124014287) is an individual specialist in Jacksonville Beach, Florida, licensed in Florida (ME42493) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1124014287
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameCLEVELAND W RANDOLPH JR.Credential: M.D.
Location Address1891 BEACH BLVD, STE. 200Jacksonville Beach, FL 32250-2644
Mailing Address1891 Beach Blvd, Ste. 200Jacksonville Beach, FL 32250-2644 · (904) 249-3743 · Fax (904) 249-2047
Phone(904) 249-3743
Fax(904) 249-2047
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateSeptember 23, 2005
Last NPPES UpdateAugust 18, 2008
✔ NPI 1124014287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME42493
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1891 BEACH BLVD, Jacksonville Beach, FL 32250
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Other Identifiers 2

Medicare UPIND52739FL
Medicare PIN15788YFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cleveland W Randolph Jr. M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739173345
PECOS Enrollment IDI20040504000250
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
42 services37 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 6

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

NICOLE THOMAS APRN
Nurse Practitioner
1891 BEACH BLVD, SUITE 200
JACKSONVILLE BEACH, FL 32250
Duval County (904) 249-3743
DONNY KLAY APRN
Nurse Practitioner
1891 BEACH BLVD
JACKSONVILLE BEACH, FL 32250
Duval County (904) 249-3743
SHERRI K JACKSON APRN
Nurse Practitioner (Family)
1891 BEACH BLVD
JACKSONVILLE BEACH, FL 32250
Duval County (904) 249-3743
LORI A LEASEBURGE MD
Obstetrics & Gynecology (Obstetrics)
1891 BEACH BLVD, SUITE 200
JACKSONVILLE, FL 32250
Duval County (904) 249-3743
MR. ESTEBAN GARCES APRN
Nurse Practitioner (Family)
1891 BEACH BLVD, SUITE 200
JACKSONVILLE BEACH, FL 32250
Duval County (904) 249-3743
CLEVELAND RANDOLPH, JR, MD, PA
Pharmacy
1891 BEACH BLVD
JACKSONVILLE BEACH, FL 32250
Duval County (904) 746-3046

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 Cleveland Randolph's NPI number?

The NPI number for Cleveland Randolph is 1124014287. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is Cleveland Randolph located?

Cleveland Randolph practices at 1891 Beach Blvd Ste. 200, Jacksonville Beach, FL 32250. The listed phone number is (904) 249-3743.

What is Cleveland Randolph's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Cleveland Randolph enrolled in Medicare?

Yes. Cleveland Randolph is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Cleveland Randolph accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Cleveland Randolph 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.

Is Cleveland Randolph affiliated with any hospitals?

According to CMS data, Cleveland Randolph is affiliated with Baptist Health Medical Center - Jacksonville and Baptist Medical Center Beaches.

When was this NPI record last updated?

The NPPES record for Cleveland Randolph was last updated on August 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.