RANDLEMAN MEDICAL CENTER
NPI 1477810265
Nurse Practitioner - Primary Care in Randleman, NC

Q: What is Randleman Medical Center's NPI number?

The NPI number for Randleman Medical Center is 1477810265. It was assigned to this organization in the NPPES registry on April 18, 2012. The provider was formerly known as Randleman Medical Clinic PLLC.

Q: What is Randleman Medical Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since April 18, 2012CLIA 34D2041705 · Waiver

670 W ACADEMY ST, RANDLEMAN, NC 27317(336) 498-8500(336) 498-8522 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2025, Mar 24, 2025, Feb 18, 2025 and 2 more (5 updates tracked since 2022).

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About Randleman Medical Center NPPES

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

RANDLEMAN MEDICAL CENTER (NPI 1477810265), doing business as Randleman Medical Clinic Pllc, is a healthcare organization registered as a primary care in Randleman, North Carolina and active in the NPI registry since April 2012. The organization holds a CLIA Waiver certificate valid through May 28, 2028 and lists Regina Faith Hodge, Owner, as its authorized official.

NPPES Registry Identity

NPI1477810265

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameRANDLEMAN MEDICAL CENTER

Location Address670 W ACADEMY STRandleman, NC 27317-9748

Mailing Address670 W Academy StRandleman, NC 27317-9748 · (336) 498-8500 · Fax (336) 498-8522

Phone(336) 498-8500

Fax(336) 498-8522

Organization SubpartNo

Authorized OfficialRegina Faith HodgeOwner · (336) 498-8500

Enumeration DateApril 18, 2012

Last NPPES UpdateAugust 5, 20255 updates tracked since enumeration

NPPES CertifiedAugust 5, 2025

✔ NPI 1477810265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

670 W ACADEMY ST, Randleman, NC 27317

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Other Names 1

Former Legal Business NameRandleman Medical Clinic Pllc

Other Identifiers 2

Other1477810265NC · Npi

Medicaid5920523NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2041705

Randleman Medical Center PLLC · Randleman, NC

Active · expires May 28, 2028

CLIA Number34D2041705

Laboratory TypePhysician Office

Certificate Effective DateMay 29, 2026

Certificate Expiration DateMay 28, 2028

Laboratory DirectorTanvir A. Chodri

Laboratory Phone(336) 498-8500

Laboratory LocationRandleman Medical Center PLLC670 W Academy St, Randleman, NC 27317

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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.

MACI OLIVIA BURNS COWARD

Nurse Practitioner (Family)