LAURA RANDOLPH D.O.
NPI 1558666362
Obstetrics & Gynecology in Statesville, NC
About Laura Randolph D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAURA RANDOLPH D.O. (NPI 1558666362) is an individual obstetrics & gynecology provider in Statesville, North Carolina, licensed in North Carolina (202000517) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Evansville, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted 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
Laura Randolph D.o. 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.
Medicare Billing Reassignments
4Medicare enrollment records show Laura Randolph reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greenfield, IN 46140
- Reassigned Medicare billing, Indiana enrollment
- 68 clinicians in this Medicare group
Greenfield, IN 46140
- Reassigned Medicare billing, Indiana enrollment
- 203 clinicians in this Medicare group
Evansville, IN 47750
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: St Marys Medical Group LLC
- 288 clinicians in this Medicare group
Noblesville, IN 46060
- Reassigned Medicare billing, Indiana enrollment
- 303 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension St Vincent Evansville
Acute Care Hospitals · Evansville, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28625 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Laura Randolph's NPI number?
The NPI number for Laura Randolph is 1558666362. It was assigned to this individual provider in the NPPES registry on January 26, 2011.
Where is Laura Randolph located?
Laura Randolph practices at 1446 Fern Creek Dr, Statesville, NC 28625. The listed phone number is (704) 873-9617.
What is Laura Randolph's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Laura Randolph enrolled in Medicare?
Yes. Laura 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 organizations bill Medicare for Laura Randolph's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Laura Randolph reassigns Medicare benefits to 4 organizations: Hancock Regional Hospital (Greenfield, IN), Hancock Physician Network, LLC (Greenfield, IN), St Mary's Medical Group, LLC (Evansville, IN) and Riverview Hospital (Noblesville, IN). Each 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 Laura Randolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Laura Randolph accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Laura 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.
Is Laura Randolph affiliated with any hospitals?
According to CMS data, Laura Randolph is affiliated with Ascension St Vincent Evansville.
When was this NPI record last updated?
The NPPES record for Laura Randolph was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Laura Randolph, D.O. · NPI 1558666362
Obstetrics & Gynecology physician in Statesville, North Carolina. Individual provider, active in the CMS NPPES registry since January 26, 2011.
## Identity
- **NPI:** 1558666362 (Entity type: Individual)
- **Enumerated:** January 26, 2011
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 202000517 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1446 FERN CREEK DR, Statesville, NC 28625-9376
- **Phone:** (704) 873-9617
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Hancock Regional Hospital (NPI 1114016987, Greenfield, IN); Hancock Physician Network, LLC (NPI 1609806470, Greenfield, IN); St Mary's Medical Group, LLC (NPI 1164852539, Evansville, IN); Riverview Hospital (NPI 1225275928, Noblesville, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lake Erie College Of Osteopathic Medicine, Erie, class of 2011
## Record status
- **NPPES last updated:** July 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1558666362) · Data from the CMS NPPES public registry.