Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Randolph, MED, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1295910057

Amy Randolph, MED, CCC-SLP is a Qualified Speech Language Pathologist in Bolivia, North Carolina. Qualified in 1998, 28 years ago. Practices with Empowerme Rehabilitation LLC, a 440-clinician group and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
28
Licensed in
NC, SC
In the registry since
2007
Specialties on file
2
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

35 Referendum Dr NE
Bolivia, NC 28422-7578
Phone: (910) 406-5100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 5025 (NC)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 5639 (SC)

Record details

NPI number1295910057
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , CCC-SLP
Sole proprietorYes
NPI enumeratedDecember 29, 2007
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Empowerme Rehabilitation Llc — 440 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bolivia