Derrick Randolph, RN
Derrick Randolph, RN is a Family Nurse Practitioner in Decatur, GA, registered under NPI 1760882690. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 1207 7TH ST S.E. DECATUR/MORGAN HOSPITAL - PARKWAY CAMPUS, Decatur, GA 35601. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 1-090988 | AL | Registered Nurse |
| 1-090988 | AL | Student in an Organized Health Care… |
| 1-090988 | AL | Family Nurse Practitioner primary |
This provider holds licence 1-090988 issued in AL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 3577881994
- Enrollment ID
- I20150415002109
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Family covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 1-090988 | AL | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 1-090988 | AL | |
| 363LF0000X | Family Nurse Practitioner Family | 1-090988 | AL | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1760882690 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Aug 28, 2014 |
| Last updated | Jan 27, 2015 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Credential | RN |
| Practice address |
1207 7TH ST S.E. DECATUR/MORGAN HOSPITAL - PARKWAY CAMPUS Decatur, GA 35601 (256) 341-2000 |
| Mailing address |
2030 CLEVELAND AVE S.W Decatur, AL 35601 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 6 | 0 | 8 | 8 | 2 | 6 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 3 | 0 | 7 | 8 | 4 | 6 | 9 |
Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.