Randolph Harrison, PA

ActiveIndividual ProviderPhysician Assistant
NPI issued: January 30, 2007

Quick Facts

NPI Number
1104962620
TypeIndividual
StatusActive
SpecialtyPhysician Assistant
Taxonomy363A00000X — Physician Assistant
Phone
(301) 677-8798
StateMD

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1104962620)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (January 30, 2007)
Data source: CMS NPPES

Provider Overview

RANDOLPH HARRISON, PA is a Physician Assistant provider based in Fort George G Meade, MD who has been registered with CMS since 2007. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104962620
Provider TypeIndividual Provider
GenderMale
CredentialPA
StatusActive
Enumeration DateJanuary 30, 2007

Practice Location

CityFort George G Meade
StateMD
ZIP Code20755-7081
Phone(301) 677-8798

Specialties & Licenses

★ Primary
SpecialtyPhysician Assistant
Taxonomy Code363A00000X
License StateMD

Mailing Address

CityFort George G Meade
StateMD
ZIP Code20755-7081
Phone(301) 677-8798
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1104962620 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1104962620for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104962620 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Physician Assistant

Physician Assistants (PAs) practice medicine under the supervision of a licensed physician, conducting physical exams, diagnosing conditions, prescribing treatments, and assisting in surgeries.

Browse all Physician Assistantproviders →
📊
158,607
Physician Assistant Providers in the US

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People Also Ask

What is Randolph Harrison's NPI number?
Randolph Harrison's NPI number is 1104962620, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Randolph Harrison's NPI currently active?
Yes, Randolph Harrison's NPI status is Active as of the latest CMS NPPES database updates.
What does Randolph Harrison specialize in?
Randolph Harrison specializes in Physician Assistant. The healthcare taxonomy code associated with this specialty is 363A00000X.
Where does Randolph Harrison practice?
Randolph Harrison practices in Fort George G Meade, MD 20755-7081.
When was Randolph Harrison's NPI issued?
Randolph Harrison's NPI was issued on January 30, 2007.
What is Randolph Harrison's provider type?
Randolph Harrison is registered as an Individual Provider under CMS NPI Type 1.