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

Mr. Randall Lee Coffman, NP

Individual provider Acute Care Nurse Practitioner · NPI 1962015420

Mr. Randall Lee Coffman, NP is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2020, 6 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2020
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

10905 Providence Rd W Ste G200
Charlotte, NC 28277-1538
Phone: (980) 488-4900
Fax: (980) 488-4905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1901 Randolph Rd, Charlotte, NC 28207-1101 — (704) 384-5420

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5013564 (NC)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 5013564 (NC)

Record details

NPI number1962015420
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 25, 2020
Last updated in NPPESMay 22, 2023
Certification dateMay 10, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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