Jackson Randolph
NPI 1093695215 · Student in an Organized Health Care Education/Training Program · Newnan, GA
Jackson Randolph is a Student in an Organized Health Care Education/Training Program provider in Newnan, GA (NPI 1093695215).
Provider details
- NPI number
- 1093695215
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-09-08
- Last updated
- 2025-09-08
- Certified
- 2025-09-07
Frequently asked questions
- What is Jackson Randolph's NPI number?
- Jackson Randolph's National Provider Identifier (NPI) is 1093695215, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Randolph's specialty?
- Jackson Randolph is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Jackson Randolph located?
- Jackson Randolph's practice location on file with NPPES is 140 Clearview Estates Dr, Newnan, GA 30265-2429.
- What is Jackson Randolph's phone number?
- The practice phone number listed in the NPPES registry for Jackson Randolph is (770) 883-3064.
- Is Jackson Randolph's NPI active?
- Yes — Jackson Randolph's NPI (1093695215) is active in the NPPES registry as of the last update on 2025-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.