Randolph Harrison, PA
NPI 1104962620 · Physician Assistant · Fort George G Meade, MD
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Randolph Harrison, PA is a Physician Assistant provider in Fort George G Meade, MD (NPI 1104962620).
Provider details
- NPI number
- 1104962620
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1070437 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 305 Maple Ave WVienna, VA 22180-4306Phone: (703) 992-7779
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 2025-04-17
- Certified
- 2025-04-17
Frequently asked questions
- What is Randolph Harrison's NPI number?
- Randolph Harrison's National Provider Identifier (NPI) is 1104962620, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Randolph Harrison's specialty?
- Randolph Harrison is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Randolph Harrison located?
- Randolph Harrison's practice location on file with NPPES is 2480 Llewellyn Ave, Fort George G Meade, MD 20755-7081.
- What is Randolph Harrison's phone number?
- The practice phone number listed in the NPPES registry for Randolph Harrison is (301) 677-8798.
- Does Randolph Harrison accept Medicare?
- Randolph Harrison is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Randolph Harrison's NPI active?
- Yes — Randolph Harrison's NPI (1104962620) is active in the NPPES registry as of the last update on 2025-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.