MR. DERRICK AARON RANDOLPH (RN) – Family Nurse Practitioner, NPI 1760882690
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for MR. DERRICK AARON RANDOLPH (RN)
2030 CLEVELAND AVE S.W
DECATUR, AL 35601
Phone: (256) 353-3501
Type: Mailing
1207 7TH ST S.E.
DECATUR/MORGAN HOSPITAL - PARKWAY CAMPUS
DECATUR, GA 35601
Phone: (256) 341-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $710.
Total Amount is formed as General ($710) + Research ($0) + Ownership ($0) = $710.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($183).
Total Amount
$710
General + Research + Ownership
Payments
42
Total payment records
General Amount
$710
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-04-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150415002109 | I | Nurse Practitioner | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 2,155 | 50 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,060 | 212 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 570 | 258 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 492 | 195 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 363 | 245 | $0 |
Insurance plans in this area (ZIP 35601)
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