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

Randall Lee Proctor, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366880304

Randall Lee Proctor, MD is a Micrographic Dermatologic Surgery (Mds) in Greenville, North Carolina. Graduated from Brody School of Medicine at East Carolina University in 2013, 13 years ago. Practices with Eastern Dermatology PA, a 20-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
13
Trained at
Brody School of Medicine at East Carolina University
Licensed in
NC
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Greenville, NC
Fax: (252) 752-2044

No coordinates on file. Search this address in Google Maps

Additional practice locations (3)

  • 1940 Stonegate Dr Ste 130, Vestavia Hls, AL 35242-2541 — (205) 977-9876
  • 1940 Stonegate Dr Ste 130, Vestavia Hls, AL 35242-2541 — (205) 977-9876
  • 2100 Stantonsburg Rd, Greenville, NC 27834-2818 — (252) 744-3229

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 2016-02476 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366880304
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2013
Last updated in NPPESAugust 1, 2018

Medicare enrollment

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

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Medical schoolBRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated 2013 (13 years in practice)
Group practice Eastern Dermatology Pa — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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