MR. RANDALL LEE COFFMAN NP
NPI 1962015420
Nurse Practitioner in Charlotte, NC
About Mr. Randall Lee Coffman Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RANDALL LEE COFFMAN NP (NPI 1962015420) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5013564) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, is affiliated with Novant Health Matthews Medical Center, and maintains a secondary practice location in Charlotte.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
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
Mr. Randall Lee Coffman Np 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 Reassignment
Medicare enrollment records show Randall Coffman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charlotte, NC 28277
- Reassigned Medicare billing, North Carolina enrollment
- 2,998 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Novant Health Matthews Medical Center
Acute Care Hospitals · Matthews, NCNovant Health Ballantyne Medical Center
Acute Care Hospitals · Charlotte, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28277 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLOTTE, NC 28277
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 Coffman's NPI number?
The NPI number for Randall Coffman is 1962015420. It was assigned to this individual provider in the NPPES registry on August 25, 2020.
Where is Randall Coffman located?
Randall Coffman practices at 10905 Providence Rd W Suite G200, Charlotte, NC 28277. The listed phone number is (980) 488-4900.
What is Randall Coffman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Randall Coffman enrolled in Medicare?
Yes. Randall Coffman 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 organization bills Medicare for Randall Coffman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randall Coffman reassigns Medicare benefits to Novant Health Medical Group, LLC (Charlotte, 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 Randall Coffman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Randall Coffman accept?
Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Randall Coffman 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.
Is Randall Coffman affiliated with any hospitals?
According to CMS data, Randall Coffman is affiliated with Novant Health Matthews Medical Center and Novant Health Ballantyne Medical Center.
When was this NPI record last updated?
The NPPES record for Randall Coffman was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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. Randall Lee Coffman, NP · NPI 1962015420
Nurse Practitioner physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since August 25, 2020.
## Identity
- **NPI:** 1962015420 (Entity type: Individual)
- **Enumerated:** August 25, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 5013564 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 10905 PROVIDENCE RD W, SUITE G200, Charlotte, NC 28277-1538
- **Phone:** (980) 488-4900 · **Fax:** (980) 488-4905
## 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:** Novant Health Medical Group, LLC (NPI 1174202170, Charlotte, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1962015420) · Data from the CMS NPPES public registry.