RANDI GOLDSTEIN – Dermatology Physician, NPI 1679100119

RANDI GOLDSTEIN is a healthcare provider. based in Buford, Georgia. specializing in DERMATOLOGY. They hold a License No. 99441 (GA). The NPI Number for RANDI GOLDSTEIN is 1679100119

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
RANDI GOLDSTEIN
NPI
1679100119
Phone
(470) 242-0725
Address
1839 BUFORD HWY STE 100
Enumeration Date
25 March 2020
Last Update Date
23 July 2025

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4043517546
Graduation Year
2020 (6 years ago)
PAC ID
0042634404
Group Practice PAC ID
0941276141
Professional Enrollment ID
I20240708001565
Address ID
GA303274100AT3280XNWXX504
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

409 DERMATOLOGY in GA

Provider Addresses for RANDI GOLDSTEIN

  • 1839 BUFORD HWY STE 100

    BUFORD, GA 305183672

    Phone: (470) 242-0725

    Fax: (770) 755-5890

    Type: Mailing

  • 1542 Tulane Ave # T4M2

    New Orleans, LA 701122865

    Phone: (504) 568-5600

    Type: Location

  • 1542 TULANE AVE # T4M2

    NEW ORLEANS, LA 701122865

    Phone: (504) 568-5600

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 77 Open Payments records for all available years, with a total value of $2,674.

Total Amount is formed as General ($2,674) + Research ($0) + Ownership ($0) = $2,674.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($534).

Total Amount

$2,674

General + Research + Ownership

Payments

77

Total payment records

General Amount

$2,674

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2024-07-08

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
I20240708001565IDermatologyGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30518)

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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: 0941276141View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
D E R M A T O L O G YGA
-GA
D E R M A T O L O G YSC
-GA
D E R M A T O L O G YGA
D E R M A T O L O G YGA

Reviews

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Frequently asked questions

What number should I use to identify RANDI GOLDSTEIN for billing?
Administrative and clinical systems typically use NPI 1679100119 for RANDI GOLDSTEIN.
Does the public listing show RANDI GOLDSTEIN as active?
RANDI GOLDSTEIN's NPI record reflects an active status in NPPES.
What does the directory say RANDI GOLDSTEIN does?
Insurance directories may phrase it differently, but here RANDI GOLDSTEIN maps to Dermatology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to RANDI GOLDSTEIN?
RANDI GOLDSTEIN is associated with Buford, Georgia in the same public data insurers reference.
Why is information missing for RANDI GOLDSTEIN?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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