MR. RANDY MAHON APRN-BC
NPI 1598956930
Nurse Practitioner - Family in Louisa, KY
About Mr. Randy Mahon Aprn-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RANDY MAHON APRN-BC (NPI 1598956930) is an individual family provider in Louisa, Kentucky, licensed in West Virginia (59883) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Randy Mahon Aprn-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Randy Mahon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Maryville, TN 37804
- Reassigned Medicare billing, Tennessee enrollment
- 390 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 41230 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Randy Mahon's NPI number?
The NPI number for Randy Mahon is 1598956930. It was assigned to this individual provider in the NPPES registry on August 8, 2007.
Where is Randy Mahon located?
Randy Mahon practices at 85 Birch Rd Apt 2, Louisa, KY 41230. The listed phone number is (304) 928-7387.
What is Randy Mahon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Randy Mahon enrolled in Medicare?
Yes. Randy Mahon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Randy Mahon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randy Mahon reassigns Medicare benefits to App Of Tennessee Ed, PLLC (Maryville, TN). The 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 Randy Mahon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Randy Mahon was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mr. Randy Mahon, APRN-BC · NPI 1598956930
Family physician in Louisa, Kentucky. Individual provider, active in the CMS NPPES registry since August 8, 2007.
## Identity
- **NPI:** 1598956930 (Entity type: Individual)
- **Enumerated:** August 8, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 59883 (West Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 85 BIRCH RD APT 2, Louisa, KY 41230-9220
- **Phone:** (304) 928-7387
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** App Of Tennessee Ed, PLLC (NPI 1003230236, Maryville, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 31, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1598956930) · Data from the CMS NPPES public registry.