RANDALL B FULFORD (PA-C) – Physician Assistant, NPI 1295795896

RANDALL B FULFORD (PA-C) is a healthcare provider. based in Jacksonville, Florida. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 004674 (GA). The NPI Number for RANDALL B FULFORD (PA-C) is 1295795896

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
RANDALL B FULFORD (PA-C)
NPI
1295795896
Phone
(904) 338-1193
Address
7131 KING ARTHUR RD N
Enumeration Date
27 March 2006
Last Update Date
1 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9047026111
Graduation Year
1996 (30 years ago)
PAC ID
6608892930
Group Practice PAC ID
1355626789
Professional Enrollment ID
I20051017000580
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

Loading map...

Provider Addresses for RANDALL B FULFORD (PA-C)

  • King Arthur Road, Arlington Manor, Eggleston Heights, Jacksonville, Duval County, Florida, 32211, United States

    JACKSONVILLE, FL 322114108

    Phone: (904) 338-1193

    Type: Mailing

  • Amelia Urgent Care, 96279, Brady Point Road, Fernandina Beach, Nassau County, Florida, 32034, United States

    FERNANDINA BEACH, FL 320347076

    Phone: (904) 321-0088

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32211)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355626789View full group profile
NameSpecialtyState
MEREDITH TINTI (MD)
-FL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does RANDALL B FULFORD (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — RANDALL B FULFORD (PA-C) uses 1295795896.
Is RANDALL B FULFORD (PA-C) listed as active for patients and plans?
The listing shows RANDALL B FULFORD (PA-C) as active in the NPI system.
What is RANDALL B FULFORD (PA-C)'s specialty?
The listing groups RANDALL B FULFORD (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does RANDALL B FULFORD (PA-C) list a practice location?
Patients near Jacksonville, Florida may find RANDALL B FULFORD (PA-C) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

Similar Providers

MR. JASON KOTULA (P.A.)

Physician Assistant
University Boulevard South, Jacksonville, Duval County, Florida, 32216, United States
NPI: 1548263882

WILLIAM M SHIMP (PA-C)

Surgical Physician Assistant
300 HEALTH PARK BLVD
NPI: 1821092511

DANIEL A BECK (PA-C)

Physician Assistant
2700 RIVERSIDE AVE STE 2
NPI: 1780688465

JOHN MICHAEL TIERNEY (PA)

Physician Assistant
San Marco Boulevard, San Marco, Jacksonville, Duval County, Florida, 32207, United States
NPI: 1124023445

KAREN ELAINE MAYES (PA)

Physician Assistant
San Pablo Road South, San Pablo, Jacksonville, Duval County, Florida, 32224, United States
NPI: 1437154887

EDWIN HAUSER (PA)

Physician Assistant
1325, San Marco Boulevard, San Marco, Jacksonville, Duval County, Florida, 32207, United States
NPI: 1760487185