Christina Nicole Randall, PA-C - Medicare Physician Assistant in Greenville, SC

Christina Nicole Randall, PA-C is a medicare enrolled "Physician Assistant - Medical" in Greenville, South Carolina. Her current practice location is 111 Doctors Dr, Greenville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 797-7100.

Christina Nicole Randall is licensed to practice in South Carolina (license number 1365) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518112689.

Contact Information

Christina Nicole Randall, PA-C
111 Doctors Dr,
Greenville, SC 29605-5622
(864) 797-7100
(864) 797-7105

Map and Direction




Provider's Profile

Full NameChristina Nicole Randall
GenderFemale
SpecialityPhysician Assistant - Medical
Location111 Doctors Dr, Greenville, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518112689
  • Provider Enumeration Date: 11/17/2008
  • Last Update Date: 06/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1951583012
  • Enrollment ID: I20110310000365

Medical Identifiers

Medical identifiers for Christina Nicole Randall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518112689NPI-NPPES
1150PAMedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 1365 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christina Nicole Randall is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Christina Nicole Randall, PA-C
1 Independence Pt, Suite 212,
Greenville, SC 29615-4545

Ph: (864) 797-6044
Christina Nicole Randall, PA-C
111 Doctors Dr,
Greenville, SC 29605-5622

Ph: (864) 797-7100

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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