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

Randall Wood Van Dolson, NP

Individual provider Registered Nurse · NPI 1558818708

Randall Wood Van Dolson, NP is a Nurse Practitioner in Chattanooga, Tennessee. Practices with Summit Medical Group, PLLC, a 636-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Licensed in
TN
In the registry since
2016
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

961 Spring Creek Rd
Chattanooga, TN 37412-3959
Phone: (423) 892-2221
Fax: (833) 450-4988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 41834 (TN)
Registered Nurse Taxonomy 163W00000X · Licence RN0000169261 (TN)

Record details

NPI number1558818708
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 6, 2016
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026
Mailing address1275 Dick Lonas Rd Unit 101, Knoxville, TN 37909-1383

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Group practice Summit Medical Group, Pllc — 636 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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