MEDICARE: AMY RANDOLPH M.ED., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	5639	SC
2	235Z00000X	Speech-Language Pathologist	5025	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	11945	OTHER	NC	BCBS PROVIDER #
3	5025	OTHER	NC	NC LICENSE #
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295910057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY RANDOLPH M.ED., CCC-SLP

Provider Business Mailing Address
First Line	:	8810 LAUREL RUN DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-6162
Country	:	US
Telephone Number	:	910-599-6994
Fax Number	:	704-274-9212

Provider Business Practice Location Address
First Line	:	8810 LAUREL RUN DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-6162
Country	:	US
Telephone Number	:	910-599-6994
Fax Number	:	704-274-9212

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2007
Last Update Date	:	07/23/2025

Similar Medicare Providers

1801963475 — PIEDMONT THERAPY SERVICES, INC.
Practice Location Address:

8810 LAUREL RUN DR
CHARLOTTE, NC
28269-6162

Practice Phone: 910-599-6994
Practice Fax: 704-274-9212

1982071080 — BOE HEALTHCARE CONSULTING
Practice Location Address:

6162 BALSAM FIR DR
CHARLOTTE, NC
28212-4502

Practice Phone: 704-777-8877
Practice Fax:

1740139278 — CHOSEN RIDE TRANSPORTATION LLC
Practice Location Address:

5028 WINDING JORDAN LN
CHARLOTTE, NC
28269-4655

Practice Phone: 803-879-3834
Practice Fax:

1639811631 — JESSICA FAICHA ESPAILLAT BCBA
Practice Location Address:

8615 CLIFF CAMERON DR STE 200
CHARLOTTE, NC
28269-5914

Practice Phone: 855-772-8847
Practice Fax:

1679423644 — CHARITY WILLIAMS
Practice Location Address:

4719 BEECH CREST PL
CHARLOTTE, NC
28269-0318

Practice Phone: 678-908-1912
Practice Fax:

1063059327 — ARIEL LORRAINE CURTIS FNP
Practice Location Address:

9350 BENFIELD RD STE 109
CHARLOTTE, NC
28269-8814

Practice Phone: 704-833-3566
Practice Fax: 704-833-3566

Directions to “ AMY RANDOLPH M.ED., CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.