Prime Direct Care
NPI 1881358125ActiveOrganization· Registered Nurse, General Practice· Stockbridge, GA
Registered Nurse, General Practice in Stockbridge, Georgia, registered in NPPES in October 2021. The authorized official on file is Bridget Randolph, NP, Owner/Operator.
Overview
| NPI | 1881358125 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 22, 2021 |
| Last updated in NPPES | Oct 22, 2021 |
| Certified by provider | Oct 22, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse, General Practice Primary | 163WG0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|