1. Home
  2. Directory
  3. North Carolina
  4. Bolivia
  5. Speech Language Pathologist
  6. NPI Profile

AMY RANDOLPH M.ED., CCC-SLP
NPI 1295910057
Speech-Language Pathologist in Bolivia, NC

Active since December 29, 2007Accepts Medicare Assignment
35 REFERENDUM DR NE, BOLIVIA, NC 28422(910) 406-5100 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amy Randolph M.ed., Ccc-slp NPPES

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

AMY RANDOLPH M.ED., CCC-SLP (NPI 1295910057) is an individual speech-language pathologist provider in Bolivia, North Carolina, licensed in North Carolina (5025) and active in the NPI registry since December 2007. She is a graduate of Other (1998).

NPPES Registry Identity

NPI1295910057
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameAMY RANDOLPHCredential: M.ED., CCC-SLP
Location Address35 REFERENDUM DR NEBolivia, NC 28422-7578
Mailing Address4974 Kona Ct Unit 2Southport, NC 28461-7576 · (910) 599-6994 · Fax (704) 274-9212
Phone(910) 406-5100
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateDecember 29, 2007
Last NPPES UpdateMarch 31, 2026
NPPES CertifiedMarch 31, 2026
✔ NPI 1295910057 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
Licenses✔ Licensed in NC · 5025✔ Licensed in SC · 5639
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.
35 REFERENDUM DR NE, Bolivia, NC 28422
Open in Google Maps ↗

Other Identifiers 4

Medicaid7411551NC
Other11945NC · Bcbs Provider #
Other5025NC · Nc License #
Other7211429NC · Medicaid Group Provider #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Amy Randolph M.ed., Ccc-slp 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 ID2163885062
PECOS Enrollment IDI20250616001148

Other Providers at the Same Location NPPES 20

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

JOURNEE REBEKAH MATTHEWS
Speech-Language Pathologist
35 REFERENDUM DR NE
BOLIVIA, NC 28422
Brunswick County (910) 228-4876
JACLYN J OEHLER MS, CCC-SLP
Speech-Language Pathologist
35 REFERENDUM DR NE
BOLIVIA, NC 28422
Brunswick County (910) 406-5100
RYLEIGH WEBER MS
Speech-Language Pathologist
35 REFERENDUM DR NE
BOLIVIA, NC 28422
Brunswick County (910) 406-5100
MRS. AMANDA MIZELLE M.S.CCC-SLP
Speech-Language Pathologist
35 REFERENDUM DR NE
BOLIVIA, NC 28422
Brunswick County (910) 406-5100
ALISON SLOMBA OTR/L
Occupational Therapist
35 REFERENDUM DR NE
BOLIVIA, NC 28422
Brunswick County (910) 406-5100
ANITA BAKULA SLP
Speech-Language Pathologist
35 REFERENDUM DR NE
BOLIVIA, NC 28422
Brunswick County (910) 406-5100
SELENA ANNE EHLERT OTR/L
Occupational Therapist
35 REFERENDUM DR NE
BOLIVIA, NC 28422
Brunswick County (910) 406-5100
BRUNSWICK COUNTY SCHOOLS
Local Education Agency (LEA)
35 REFERENDUM DR NE
BOLIVIA, NC 28422
Brunswick County (910) 253-2900

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 Amy Randolph's NPI number?

The NPI number for Amy Randolph is 1295910057. It was assigned to this individual provider in the NPPES registry on December 29, 2007.

Where is Amy Randolph located?

Amy Randolph practices at 35 Referendum Dr NE, Bolivia, NC 28422. The listed phone number is (910) 406-5100.

What is Amy Randolph's specialty?

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

Is Amy Randolph enrolled in Medicare?

Yes. Amy 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 Amy Randolph accept?

Health plans from Blue Cross and Blue Shield of NC list Amy 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 Amy Randolph was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.