Mr. Gregory W Randolph, MD
Mr. Gregory W Randolph is a General Practice Physician provider (General Practice) practicing in Pass Christian, MS, registered in the NPPES registry with NPI 1699760652 since 2005. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1699760652 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mr. Gregory W Randolph |
| Credential | MD |
| Sex | Male |
| Practice address | 130 FLEITAS AVE, Pass Christian, MS, 39571 |
| Phone | 2284524888 |
| Fax | 2284525006 |
| Enumeration date | 2005-09-15 |
| Last updated in NPPES | 2007-07-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208D00000X | General Practice Physician | Primary | 13081 | MS |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00117253 | Medicaid | MS | — |
Copy-ready billing details
Provider: Gregory Randolph, MD NPI: 1699760652 Taxonomy: 208D00000X (General Practice Physician) Address: 130 FLEITAS AVE, Pass Christian, MS, 39571
Verify this record
Cross-check NPI 1699760652 against the authoritative CMS record: view Mr. Gregory W Randolph on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2007-07-08.