RANDOLPH P COUSINS (PA) – Medical Physician Assistant, NPI 1730260019
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for RANDOLPH P COUSINS (PA)
7301, Blackmon Road, Williamsburg, Columbus, Muscogee County, Georgia, 31909, United States
COLUMBUS, GA 319094478
Phone: (706) 568-2700
Fax: (706) 568-2705
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 68 Open Payments records for all available years, with a total value of $1,318.
Total Amount is formed as General ($1,318) + Research ($0) + Ownership ($0) = $1,318.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($276).
Total Amount
$1,318
General + Research + Ownership
Payments
68
Total payment records
General Amount
$1,318
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Myriad Genetic Laboratories, Inc. | $276 |
| PFIZER INC. | $215 |
| Endo Pharmaceuticals Inc. | $103 |
| Sumitomo Pharma America, Inc. | $98 |
| ABBVIE INC. | $92 |
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: 2011-04-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110408000464 | I | Physician Assistant | GA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31909)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | GA | |
| Nurse Practitioner | TN |
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