LAURA RANDOLPH D.O.
NPI 1558666362
Obstetrics & Gynecology in Statesville, NC

Active since January 26, 2011PECOS EnrolledAccepts Medicare Assignment
1446 FERN CREEK DR, STATESVILLE, NC 28625(704) 873-9617 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2024, Jan 12, 2023, Mar 9, 2020 and 3 more (6 updates tracked since 2017).

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

NPI1558666362
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameLAURA RANDOLPHCredential: D.O.
Location Address1446 FERN CREEK DRStatesville, NC 28625-9376
Mailing AddressPo Box 1845Statesville, NC 28687-1845 · (704) 873-4277
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2011
Enumeration DateJanuary 26, 2011
Last NPPES UpdateJuly 17, 20246 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
NPI 1558666362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in NC · 202000517 Licensed in NC · 2020-00517 Licensed in IN · 02004295A
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1446 FERN CREEK DR, Statesville, NC 28625

Secondary Practice Locations 3

Location 1Unit 5115APO, AE 09461 · Phone (314) 226-8124
Location 22600 Sixth St SWCanton, OH 44710-1702 · Phone (330) 363-6235
Location 33700 Washington Ave Ste 2200Evansville, IN 47714-0541 · Phone (812) 485-7111

Accepted 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

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.

PECOS PAC ID2769791631
PECOS Enrollment IDI20230919002478
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.

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, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150100
Location3700 Washington AveEvansville, IN 47750 · Vanderburgh County
Emergency services Birthing friendly

Physician 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.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Obstetrics & Gynecology
1446 FERN CREEK DR
STATESVILLE, NC 28625
Family Medicine
1446 FERN CREEK DR
STATESVILLE, NC 28625
Obstetrics & Gynecology
1446 FERN CREEK DR
STATESVILLE, NC 28625
Obstetrics & Gynecology
1446 FERN CREEK DR
STATESVILLE, NC 28625
Nurse Practitioner (Family)
1446 FERN CREEK DR
STATESVILLE, NC 28625
Obstetrics & Gynecology
1446 FERN CREEK DR
STATESVILLE, NC 28625

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.

What insurance does Laura Randolph accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian 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.