Tiffani Randolph
Case Manager/Care Coordinator in Conyers, GA. Individual provider (NPI-1).
NPI number1124833728
StatusActive
Last updated in NPPESFeb 11, 2025
Details
- NPI
- 1124833728
- Entity type
- Individual (NPI-1)
- Name
- Tiffani Randolph
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 11, 2025
- Certification date
- Feb 11, 2025
- Last updated
- Feb 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
1705 Highway 138 Se Unit 81606Conyers, GA 30013-0140
Phone 470-998-1175
Mailing address
1705 Highway 138 Se Unit 81606Conyers, GA 30013-0140
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 14 Case Manager/Care Coordinator providers in Conyers · All 2,198 providers in Conyers
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