DR. SALLEE TAYLOR RANDOLPH DPM
NPI 1447614136
Podiatrist - Foot & Ankle Surgery in Johnson City, TN

Q: What is Sallee Randolph's NPI number?

The NPI number for Sallee Randolph is 1447614136. It was assigned to this individual provider in the NPPES registry on April 8, 2016. The provider is also known as Sallee Raye Taylor.

Q: What is Sallee Randolph's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Sallee Randolph was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 08, 2016PECOS EnrolledAccepts Medicare Assignment

1303 SUNSET DR STE 6, JOHNSON CITY, TN 37604(423) 232-1771 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 4, 2026, Jul 11, 2024, Jul 11, 2019 and 2 more (5 updates tracked since 2016).

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About Dr. Sallee Taylor Randolph Dpm NPPES

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

DR. SALLEE TAYLOR RANDOLPH DPM (NPI 1447614136) is an individual foot & ankle surgery provider in Johnson City, Tennessee, licensed in Tennessee (848) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Johnson City, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1447614136

Entity TypeIndividualFemale

Primary Taxonomy213ES0103X

Provider Legal NameDR. SALLEE TAYLOR RANDOLPHCredential: DPM

Location Address1303 SUNSET DR STE 6Johnson City, TN 37604

Mailing Address206 Princeton Rd Ste 14Johnson City, TN 37601-2025 · (423) 232-1771

Phone(423) 232-1771

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 8, 2016

Last NPPES UpdateAugust 4, 20265 updates tracked since enumeration

NPPES CertifiedAugust 4, 2026

✔ NPI 1447614136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in TN · 848

1303 SUNSET DR STE 6, Johnson City, TN 37604

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Other Names 1

Former Name (1)Sallee Raye Taylor

Secondary Practice Location 1

Location 1206 Princeton Rd Ste 14Johnson City, TN 37601-2025 · Phone (423) 232-1771

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Dr. Sallee Taylor Randolph Dpm 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 ID7618261132

PECOS Enrollment IDI20190829001144

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 Sallee Randolph reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Podiatric Clinics Of Northeast Tn

Same address

Foot & Ankle Surgery

1303 SUNSET DR STE 6
Johnson City, TN 37604

Reassigned Medicare billing, Tennessee enrollment
2 clinicians in this Medicare group

NPI 1619525961 (423) 232-1771

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

343 services157 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

99 services99 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

58 services19 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

46 services20 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

30 services25 patients

Permanent removal fingernail or toenail 11750

Permanent removal of a fingernail or toenail, also known as avulsion, is a procedure performed to treat nail infections or severe ingrown nails. The nail is carefully removed under local anesthesia. After removal, a chemical is applied to prevent nail regrowth, ensuring the issue does not recur.

21 services13 patients

Other Providers at the Same Location NPPES

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

PODIATRIC CLINICS OF NORTHEAST TN

Podiatrist (Foot & Ankle Surgery)

1303 SUNSET DR STE 6
JOHNSON CITY, TN 37604

Washington County (423) 232-1771

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 Sallee Randolph's NPI number?

The NPI number for Sallee Randolph is 1447614136. It was assigned to this individual provider in the NPPES registry on April 8, 2016. The provider is also known as Sallee Raye Taylor.

Where is Sallee Randolph located?

Sallee Randolph practices at 1303 Sunset Dr Ste 6, Johnson City, TN 37604. The listed phone number is (423) 232-1771.

What is Sallee Randolph's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Sallee Randolph enrolled in Medicare?

Yes. Sallee 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 Sallee Randolph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sallee Randolph reassigns Medicare benefits to Podiatric Clinics Of Northeast Tn (Johnson City, 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 Sallee Randolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sallee Randolph accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Sallee 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 Sallee Randolph was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.