RANDOLPH PRIMARY CARE, PA
NPI 1528392289
Durable Medical Equipment & Medical Supplies in Asheboro, NC

Active since September 29, 2009CLIA 34D2004683 · Waiver
350 N COX ST STE 6, ASHEBORO, NC 27203(336) 629-2201(336) 629-2205 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Randolph Primary Care, Pa NPPES

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

RANDOLPH PRIMARY CARE, PA (NPI 1528392289) is a healthcare organization registered as a durable medical equipment & medical supplies in Asheboro, North Carolina and active in the NPI registry since September 2009. The organization holds a CLIA Waiver certificate valid through March 9, 2028 and lists Saad Amin, President & Provider, as its authorized official.

NPPES Registry Identity

NPI1528392289
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameRANDOLPH PRIMARY CARE, PA
Location Address350 N COX ST STE 6Asheboro, NC 27203-5514
Mailing Address350 N Cox St Ste 6Asheboro, NC 27203-5514 · (336) 629-2201 · Fax (336) 629-2205
Fax(336) 629-2205
Organization SubpartNo
Authorized OfficialSaad AminPresident & Provider · (336) 629-2201
Enumeration DateSeptember 29, 2009
Last NPPES UpdateJuly 22, 2026
NPPES CertifiedJuly 22, 2026
✔ NPI 1528392289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedInternal MedicineTaxonomy 207R00000X
350 N COX ST STE 6, Asheboro, NC 27203

Other Identifiers 1

Medicaid5913171NC

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randolph Primary Care, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Randolph Primary Care, PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner17
Internal Medicine3

Clinicians, nearest first (20)

Nurse Practitioner
NPI 1063119261
350 N COX ST STE 6
Asheboro, NC 27203
(336) 629-2201
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1992719751
350 N COX ST STE 6
Asheboro, NC 27203
(336) 629-2201
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1851744874
350 N COX ST SUITE 6
Asheboro, NC 27203
(336) 629-2201
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1609490382
5514, 350 N COX ST STE 6
Asheboro, NC 27203
(336) 629-2201
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1518688092
350 N COX ST STE 6
Asheboro, NC 27203
(336) 629-2201
✔ PECOS0.5 mi
Nurse Practitioner
NPI 1215793237
350 N COX ST
Asheboro, NC 27203
(336) 629-2201
✔ PECOS0.5 mi
Internal Medicine
NPI 1720046147
350 N COX ST STE 6
Asheboro, NC 27203
(336) 629-2201
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1760885271
350 N COX ST STE 6
Asheboro, NC 27203
(336) 629-2201
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1447689021
1831 N FAYETTEVILLE ST
Asheboro, NC 27203
(336) 672-1300
✔ PECOS✔ Accepts Medicare3.2 mi
Nurse Practitioner
NPI 1669016556
700 W MAIN ST
Jamestown, NC 27282
(336) 886-6521
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1528426855
401 LAMBERT RD
Biscoe, NC 27209
(910) 428-2117
✔ PECOS23 mi
Nurse Practitioner
NPI 1962154658
2041 WILLOW RD
Greensboro, NC 27406
(336) 272-9700
✔ PECOS23 mi
Nurse Practitioner
NPI 1114457314
1100 E WENDOVER AVE
Greensboro, NC 27405
(336) 641-6124
✔ PECOS27 mi
Internal Medicine
NPI 1639604903
1200 N ELM ST
Greensboro, NC 27401
(336) 832-7272
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1881288090
605 COLLEGE RD
Greensboro, NC 27410
(336) 852-2550
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1235550054
WAKE FOREST UNIVERSITY BAPTIST HOSPITAL PULMONARY/CRITICAL CARE 2ND FL WATLINGTON,
Winston Salem, NC 27157
(336) 716-8898
✔ PECOS✔ Accepts Medicare37 mi
Nurse Practitioner
NPI 1518680917
543 MAPLE AVE
Reidsville, NC 27320
(336) 342-1382
✔ PECOS46 mi
Nurse Practitioner
NPI 1568938017
150 FAIRVIEW RD STE 300
Mooresville, NC 28117
(704) 746-0002
✔ PECOS✔ Accepts Medicare59 mi
Nurse Practitioner
NPI 1881033678
200 HAWTHORNE LN
Charlotte, NC 28204
(704) 384-9414
✔ PECOS✔ Accepts Medicare66 mi
Nurse Practitioner
NPI 1700419835
3545 WHITEHALL PARK DR STE 300
Charlotte, NC 28273
(980) 302-8850
✔ PECOS✔ Accepts Medicare75 mi

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

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 34D2004683

Randolph Primary Care, PA · Asheboro, NC
Active · expires Mar 9, 2028
CLIA Number34D2004683
Laboratory TypePhysician Office
Certificate Effective DateMarch 10, 2026
Certificate Expiration DateMarch 9, 2028
Laboratory DirectorJason J. Van Eyk
Laboratory Phone(336) 629-2201
Laboratory LocationRandolph Primary Care, PA350 N Cox Street, Suite 6, Asheboro, NC 27203
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Randolph Primary Care, PA's NPI number?

The NPI number for Randolph Primary Care, PA is 1528392289. It was assigned to this organization in the NPPES registry on September 29, 2009.

Where is Randolph Primary Care, PA located?

Randolph Primary Care, PA is located at 350 N Cox St Ste 6, Asheboro, NC 27203. The listed phone number is (336) 629-2201.

What is Randolph Primary Care, PA's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Is Randolph Primary Care, PA enrolled in Medicare?

Yes. Randolph Primary Care, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Randolph Primary Care, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 2 Medicare specialties reassign their Medicare billing to Randolph Primary Care, PA. A 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 the clinician's services. The largest specialties are Nurse Practitioner (17) and Internal Medicine (3). Of these, 2 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Randolph Primary Care, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2004683) is associated with this NPI, valid through March 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Randolph Primary Care, PA accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Cigna Healthcare list Randolph Primary Care, PA 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 Randolph Primary Care, PA was last updated on July 22, 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.