SAVANNAH ASHLEE RANDOLPH (CRNP) – Adult Health Nurse Practitioner, NPI 1164872529
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
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Provider Addresses for SAVANNAH ASHLEE RANDOLPH (CRNP)
Illinois Action for Children, 1340, South Damen Avenue, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60608, United States
SUITE 400
CHICAGO, IL 606081169
Phone: (773) 292-4800
Fax: (312) 564-4059
Type: Mailing
730 COOL SPRINGS BLVD STE 500
FRANKLIN, TN 370677331
Phone: (773) 292-4800
Fax: (312) 564-4059
Type: Mailing
2, Chase Corporate Drive, Chace Lake, Hoover, Jefferson County, Alabama, 35244, United States
SUITE 300
HOOVER, AL 352441016
Phone: (773) 292-4800
Fax: (312) 564-4059
Type: Location
NPPES updates history
- Provider•UpdatedMay 27, 2026
Fields: Last update date, Certification date
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-12-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20160815001732 | I | Nurse Practitioner | AL | TBD |
| I20241223000356 | I | Nurse Practitioner | TN | 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 60608)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | MS |
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