RANDOLPH A. HENNIGAR (PH.D., M.D.) – Anatomic Pathology Physician, NPI 1467410266

RANDOLPH A. HENNIGAR (PH.D., M.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in PATHOLOGY. They hold the professional credentials PH.D., M.D.. They hold a License No. 307626 (NY). The NPI Number for RANDOLPH A. HENNIGAR (PH.D., M.D.) is 1467410266

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
RANDOLPH A. HENNIGAR (PH.D., M.D.)
NPI
1467410266
Phone
(404) 727-9885
Address
1364 Clifton Rd NE
Enumeration Date
2 May 2006
Last Update Date
28 October 2020

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
6314442222
Graduation Year
1988 (38 years ago)
PAC ID
4981735313
Group Practice PAC ID
2163502162
Professional Enrollment ID
I20201224000603
Address ID
NY117903407ST100XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

391 PATHOLOGY in GA

Provider Addresses for RANDOLPH A. HENNIGAR (PH.D., M.D.)

  • 1364 Clifton Rd NE

    Room H194

    Atlanta, GA 303221059

    Phone: (404) 727-9885

    Fax: (404) 727-3133

    Type: Location

  • DEPARTMENT OF PATHOLOGY 101 NICOLLS RD BST-9T RM 140

    STONY BROOK, NY 117948691

    Phone: (770) 843-1990

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2023-11-01 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-12-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201224000603IPathologyNYTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88350Antibody evaluation, each additional single antibody stain procedure47158$0
88313Special stained specimen slides to examine tissue including interpretation and report24959$0
88305Pathology examination of tissue using a microscope, intermediate complexity6159$0
88346Antibody evaluation, initial single antibody stain procedure6058$0
88341Special stained specimen slides to examine tissue, each additional procedure3627$0
View full utilization report →

Insurance plans in this area (ZIP 30322)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163502162View full group profile
NameSpecialtyState
P A T H O L O G YNY
P A T H O L O G YNY
P A T H O L O G YNY
-NY
P A T H O L O G YMA
-NY
P A T H O L O G YMO
P A T H O L O G YNY
Pathology, HematologyNY
P A T H O L O G YNY

Reviews

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Frequently asked questions

Can I use this page to confirm RANDOLPH A. HENNIGAR (PH.D., M.D.)'s NPI?
Yes. RANDOLPH A. HENNIGAR (PH.D., M.D.) is listed with NPI 1467410266 in the public NPI dataset.
Does CMS list RANDOLPH A. HENNIGAR (PH.D., M.D.) as active?
Yes — RANDOLPH A. HENNIGAR (PH.D., M.D.) is active in the NPI listing used on this page.
What is RANDOLPH A. HENNIGAR (PH.D., M.D.)'s primary classification?
Anatomic Pathology Physician is the headline specialty for RANDOLPH A. HENNIGAR (PH.D., M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for RANDOLPH A. HENNIGAR (PH.D., M.D.)?
RANDOLPH A. HENNIGAR (PH.D., M.D.)'s geographic hint is Atlanta, Georgia in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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