Amy Lynn Randolph, FNP in Gastonia, NC - Medicare Nurse Practitioner

Amy Lynn Randolph, FNP is a medicare enrolled "Nurse Practitioner - Family" in Gastonia, North Carolina. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gastonia Medical Specialty Clinic Pa and her current practice location is 934 Cox Rd, Gastonia, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 834-5864.

Amy Lynn Randolph is licensed to practice in North Carolina (license number 5007853) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285019000.

Contact Information

	Amy Lynn Randolph, FNP
	934 Cox Rd, Gastonia, NC 28054-3456
	(980) 834-5864
	(704) 864-0288

Map and Direction

Provider's Profile

Full Name	Amy Lynn Randolph
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	934 Cox Rd, Gastonia, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amy Lynn Randolph graduated from nursing school in 2014

NPI Data:

NPI Number: 1285019000
Provider Enumeration Date: 07/22/2015
Last Update Date: 04/09/2025

Medicare PECOS Information:

PECOS PAC ID: 9234448069
Enrollment ID: I20151019001303

Medical Identifiers

Medical identifiers for Amy Lynn Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285019000	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5007853 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	5007853 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Caromont Regional Medical Center	Gastonia, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gastonia Medical Specialty Clinic Pa	2961400197	6

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amy Lynn Randolph allows following entities to bill medicare on her behalf.

Entity Name	Eastridge Family Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477589158 PECOS PAC ID: 2466401666 Enrollment ID: O20050114000135

Entity Name	Gastonia Medical Specialty Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023048279 PECOS PAC ID: 2961400197 Enrollment ID: O20061121000682

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy Lynn Randolph is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Amy Lynn Randolph, FNP Po Box 744786, Atlanta, GA 30374-4786 Ph: (704) 834-2450	Amy Lynn Randolph, FNP 934 Cox Rd, Gastonia, NC 28054-3456 Ph: (980) 834-5864

Reviews and Comments

Nurse Practitioner Nurses in Gastonia, NC

Ieachia T. Morris, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1337 E Garrison Blvd, Gastonia, NC 28054 Phone: 704-671-5313
Jonathan Labayo Desamero, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3715 Union Rd, Gastonia, NC 28056 Phone: 704-854-8202
Susanna M Shepard, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 609 N Highland St, Gastonia, NC 28052 Phone: 704-853-5294
Cecily Robin Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 Cox Rd, Gastonia, NC 28054 Phone: 704-865-1700 Fax: 704-865-7948
Sonya Nanette Belin, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3050 Riverwood Pkwy Ste B, Gastonia, NC 28056 Phone: 047-874-9005
Mrs. Shannon Bumgardner Standish, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 Cox Rd Ste 201, Gastonia, NC 28054 Phone: 704-864-8302 Fax: 704-864-0228
Nora Davis Paysour, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-2000 Fax: 704-834-3274

Amy Lynn Randolph, FNP - Medicare Nurse Practitioner in Gastonia, NC