RANDALL WOOD VAN DOLSON NP
NPI 1558818708
Nurse Practitioner - Family in Chattanooga, TN

Active since September 06, 2016PECOS Enrolled
961 SPRING CREEK RD, CHATTANOOGA, TN 37412(423) 892-2221(833) 450-4988 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2026, Apr 27, 2026 (2 updates tracked since 2026).

About Randall Wood Van Dolson Np NPPES

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

RANDALL WOOD VAN DOLSON NP (NPI 1558818708) is an individual family provider in Chattanooga, Tennessee, licensed in Tennessee (41834) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1558818708
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRANDALL WOOD VAN DOLSONCredential: NP
Location Address961 SPRING CREEK RDChattanooga, TN 37412-3959
Mailing Address1275 Dick Lonas Rd Unit 101Knoxville, TN 37909-1383 · (865) 584-4747 · Fax (865) 381-1509
Fax(833) 450-4988
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateSeptember 6, 2016
Last NPPES UpdateMay 14, 20262 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
NPI 1558818708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 41834
Also ListedRegistered NurseTaxonomy 163W00000X · License RN0000169261 (TN)
961 SPRING CREEK RD, Chattanooga, TN 37412

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Randall Wood Van Dolson Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274003371
PECOS Enrollment IDI20260529002978
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37412 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
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 20

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

Nurse Practitioner (Family)
961 SPRING CREEK RD
CHATTANOOGA, TN 37412
Family Medicine
961 SPRING CREEK RD, CHATTANOOGA FAMILY PRACTICE ASSOCIATES PC
CHATTANOOGA, TN 37412
Family Medicine
961 SPRING CREEK RD
CHATTANOOGA, TN 37412
Physician Assistant
961 SPRING CREEK RD
CHATTANOOGA, TN 37412
Family Medicine
961 SPRING CREEK RD
CHATTANOOGA, TN 37412
Nurse Practitioner (Family)
961 SPRING CREEK RD
CHATTANOOGA, TN 37412
Family Medicine
961 SPRING CREEK RD, GALEN MEDICAL GROUP
CHATTANOOGA, TN 37412
Family Medicine
961 SPRING CREEK RD, GALEN MEDICAL GROUP
CHATTANOOGA, TN 37412

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 Randall Van Dolson's NPI number?

The NPI number for Randall Van Dolson is 1558818708. It was assigned to this individual provider in the NPPES registry on September 6, 2016.

Where is Randall Van Dolson located?

Randall Van Dolson practices at 961 Spring Creek Rd, Chattanooga, TN 37412. The listed phone number is (423) 892-2221.

What is Randall Van Dolson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Randall Van Dolson enrolled in Medicare?

Yes. Randall Van Dolson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randall Van Dolson was last updated on May 14, 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.