1. Home
  2. Directory
  3. North Carolina
  4. Garner
  5. Pediatrics
  6. NPI Profile

JAMES RANDY HEDGEPETH MD
NPI 1760417752
Pediatrics in Garner, NC

Active since July 11, 2006PECOS Enrolled
1405 TIMBER DR E, GARNER, NC 27529(919) 779-6423(919) 662-2021 Get Directions Write a Review

NPPES record last updated: January 23, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About James Randy Hedgepeth Md NPPES

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

JAMES RANDY HEDGEPETH MD (NPI 1760417752) is an individual pediatrics provider in Garner, North Carolina, licensed in North Carolina (29700) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760417752
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJAMES RANDY HEDGEPETHCredential: MD
Location Address1405 TIMBER DR EGarner, NC 27529-6926
Mailing Address1921 Falls Valley DriveRaleigh, NC 27615 · (919) 872-0250 · Fax (919) 848-3137
Phone(919) 779-6423
Fax(919) 662-2021
Sole ProprietorNo
Enumeration DateJuly 11, 2006
Last NPPES UpdateJanuary 23, 2012
✔ NPI 1760417752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 29700
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1405 TIMBER DR E, Garner, NC 27529
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINF45214

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Randy Hedgepeth Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show James Hedgepeth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Raleigh Pediatric Associates, PA
15 mi
Pediatrics
1921 FALLS VALLEY DR
Raleigh, NC 27615
  • Reassigned Medicare billing, North Carolina enrollment
  • 8 clinicians in this Medicare group
NPI 1508941535 (919) 872-0250

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 27529 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 5

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

JEREMY YATES DO
Pediatrics
1405 TIMBER DR E
GARNER, NC 27529
Wake County (919) 779-6423
JEFFREY JOHNSON MD
Pediatrics
1405 TIMBER DR E
GARNER, NC 27529
Wake County (919) 779-6423
CAROLINE A SARTSCHEV MD
Pediatrics
1405 TIMBER DR E
GARNER, NC 27529
Wake County (919) 779-6423
MELINDA TAYLOR MD
Pediatrics
1405 TIMBER DR E
GARNER, NC 27529
Wake County (919) 779-6423
DR. ERIN EBAUGH SUKHU MD
Pediatrics
1405 TIMBER DR E
GARNER, NC 27529
Wake County (919) 779-6423

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 James Hedgepeth's NPI number?

The NPI number for James Hedgepeth is 1760417752. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is James Hedgepeth located?

James Hedgepeth practices at 1405 Timber Dr E, Garner, NC 27529. The listed phone number is (919) 779-6423.

What is James Hedgepeth's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is James Hedgepeth enrolled in Medicare?

Yes. James Hedgepeth is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Hedgepeth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Hedgepeth reassigns Medicare benefits to Raleigh Pediatric Associates, PA (Raleigh, NC). 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 James Hedgepeth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Hedgepeth accept?

Health plans from Cigna Healthcare and UnitedHealthcare list James Hedgepeth 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.

When was this NPI record last updated?

The NPPES record for James Hedgepeth was last updated on January 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.