MARJAY GLADYS RANDALL CNP
NPI 1619226834
Nurse Practitioner in Duluth, GA
About Marjay Gladys Randall Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARJAY GLADYS RANDALL CNP (NPI 1619226834) is an individual nurse practitioner in Duluth, Georgia, licensed in Georgia (RN178428) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
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
Marjay Gladys Randall Cnp 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
3Medicare enrollment records show Marjay Randall reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 783 clinicians in this Medicare group
Athens, GA 30606
- Reassigned Medicare billing, Georgia enrollment
- 140 clinicians in this Medicare group
San Francisco, CA 94131
- Reassigned Medicare billing, Georgia enrollment
- 57 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside Hospital Gwinnett
Acute Care Hospitals · Lawrenceville, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30096 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Marjay Randall's NPI number?
The NPI number for Marjay Randall is 1619226834. It was assigned to this individual provider in the NPPES registry on September 4, 2012. The provider is also known as Marjay G Jackson Cnp.
Where is Marjay Randall located?
Marjay Randall practices at 3620 Howell Ferry Rd, Duluth, GA 30096. The listed phone number is (678) 312-6800.
What is Marjay Randall's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Marjay Randall enrolled in Medicare?
Yes. Marjay Randall 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 Marjay Randall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marjay Randall reassigns Medicare benefits to 3 organizations: North Atlanta Professional Services LLC (Atlanta, GA), Piedmont Athens Specialty Care LLC (Athens, GA) and Brightside Medical Of Michigan PC (San Francisco, CA). 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 Marjay Randall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Marjay Randall affiliated with any hospitals?
According to CMS data, Marjay Randall is affiliated with Northside Hospital Gwinnett.
When was this NPI record last updated?
The NPPES record for Marjay Randall was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Marjay Gladys Randall, CNP · NPI 1619226834
Nurse Practitioner physician in Duluth, Georgia. Individual provider, active in the CMS NPPES registry since September 4, 2012.
## Identity
- **NPI:** 1619226834 (Entity type: Individual)
- **Enumerated:** September 4, 2012
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN178428 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3620 HOWELL FERRY RD, Duluth, GA 30096-3178
- **Phone:** (678) 312-6800 · **Fax:** (678) 312-3282
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): North Atlanta Professional Services LLC (NPI 1316959869, Atlanta, GA); Piedmont Athens Specialty Care LLC (NPI 1184130627, Athens, GA); Brightside Medical Of Michigan PC (NPI 1144800350, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** January 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1619226834) · Data from the CMS NPPES public registry.