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BRANDALYN NICOLE RANDOLPH NP
NPI 1154287456
Family Medicine - Adult Medicine in Hixson, TN

Active since December 30, 2025PECOS EnrolledAccepts Medicare Assignment
1870 LONGLEAF CT, HIXSON, TN 37343(571) 527-9390 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brandalyn Nicole Randolph Np NPPES

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

BRANDALYN NICOLE RANDOLPH NP (NPI 1154287456) is an individual adult medicine provider in Hixson, Tennessee, licensed in Tennessee (40647) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1154287456
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameBRANDALYN NICOLE RANDOLPHCredential: NP
Location Address1870 LONGLEAF CTHixson, TN 37343-6404
Mailing Address1870 Longleaf CtHixson, TN 37343-6404 · (571) 527-9390
Phone(571) 527-9390
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 30, 2025
NPPES CertifiedDecember 30, 2025
✔ NPI 1154287456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in TN · 40647
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
1870 LONGLEAF CT, Hixson, TN 37343
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brandalyn Nicole Randolph Np 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 ID3274001458
PECOS Enrollment IDI20260506001054
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 Brandalyn Randolph reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fast Access Healthcare
9.5 mi
Internal Medicine
2372 LIFESTYLE WAY STE 152
Chattanooga, TN 37421
  • Reassigned Medicare billing, Tennessee enrollment
  • 9 clinicians in this Medicare group
NPI 1063619997 (423) 894-0432

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 37343 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
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.

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 Brandalyn Randolph's NPI number?

The NPI number for Brandalyn Randolph is 1154287456. It was assigned to this individual provider in the NPPES registry on December 30, 2025.

Where is Brandalyn Randolph located?

Brandalyn Randolph practices at 1870 Longleaf Ct, Hixson, TN 37343. The listed phone number is (571) 527-9390.

What is Brandalyn Randolph's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Brandalyn Randolph enrolled in Medicare?

Yes. Brandalyn 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.

Which organization bills Medicare for Brandalyn Randolph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandalyn Randolph reassigns Medicare benefits to Fast Access Healthcare (Chattanooga, TN). 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 Brandalyn Randolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brandalyn Randolph accept?

Health plans from BlueCross BlueShield of Tennessee list Brandalyn 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.

When was this NPI record last updated?

The NPPES record for Brandalyn Randolph was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.