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MR. DERRICK AARON RANDOLPH RN
NPI 1760882690
Nurse Practitioner - Family in Decatur, GA

Active since August 28, 2014PECOS EnrolledAccepts Medicare Assignment
1207 7TH ST S.E., DECATUR/MORGAN HOSPITAL - PARKWAY CAMPUS, DECATUR, GA 35601(256) 341-2000 Get Directions Write a Review

NPPES record last updated: January 27, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mr. Derrick Aaron Randolph Rn NPPES

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

MR. DERRICK AARON RANDOLPH RN (NPI 1760882690) is an individual family provider in Decatur, Georgia, licensed in Alabama (1-090988) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2014).

NPPES Registry Identity

NPI1760882690
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. DERRICK AARON RANDOLPHCredential: RN
Location Address1207 7TH ST S.E., DECATUR/MORGAN HOSPITAL - PARKWAY CAMPUSDecatur, GA 35601
Mailing Address2030 Cleveland Ave S.wDecatur, AL 35601 · (256) 353-3501
Phone(256) 341-2000
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2014
Enumeration DateAugust 28, 2014
Last NPPES UpdateJanuary 27, 2015
✔ NPI 1760882690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 1-090988
Also ListedRegistered NurseTaxonomy 163W00000X · License 1-090988 (AL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 1-090988 (AL)
1207 7TH ST S.E., Decatur, GA 35601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.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

Mr. Derrick Aaron Randolph Rn 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 ID3577881994
PECOS Enrollment IDI20150415002109
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.

Areas of Expertise CMS Part B claims 8

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
832 services163 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
440 services197 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
365 services149 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
326 services219 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
145 services35 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
57 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35601 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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 Derrick Randolph's NPI number?

The NPI number for Derrick Randolph is 1760882690. It was assigned to this individual provider in the NPPES registry on August 28, 2014.

Where is Derrick Randolph located?

Derrick Randolph practices at 1207 7th St S.E. Decatur/Morgan Hospital - Parkway Campus, Decatur, GA 35601. The listed phone number is (256) 341-2000.

What is Derrick Randolph's specialty?

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

Is Derrick Randolph enrolled in Medicare?

Yes. Derrick 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 Derrick Randolph accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Derrick 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.

When was this NPI record last updated?

The NPPES record for Derrick Randolph was last updated on January 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.