RANDOLPH W HEATH (PA-C) – Medical Physician Assistant, NPI 1306981378

RANDOLPH W HEATH (PA-C) is a healthcare provider. based in St augustine, Florida. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA2170 (FL). The NPI Number for RANDOLPH W HEATH (PA-C) is 1306981378

Main info

Male
Sole Proprietor
47 Years Of Experience
Accepts Medicare Assignment
Name
RANDOLPH W HEATH (PA-C)
NPI
1306981378
Phone
(904) 823-3401
Address
120 HEALTH PARK BLVD STE 1
Enumeration Date
20 February 2007
Last Update Date
17 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9048233401
Graduation Year
1979 (47 years ago)
PAC ID
5799944583
Group Practice PAC ID
6204964877
Professional Enrollment ID
I20120314000692
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for RANDOLPH W HEATH (PA-C)

  • 120 HEALTH PARK BLVD STE 1

    ST AUGUSTINE, FL 320865798

    Phone: (904) 823-3401

    Fax: (904) 829-8649

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $217.

Total Amount is formed as General ($217) + Research ($0) + Ownership ($0) = $217.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Novo Nordisk Inc ($76).

Total Amount

$217

General + Research + Ownership

Payments

12

Total payment records

General Amount

$217

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-03-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120314000692IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes234210$0
99213Established patient office or other outpatient visit, 20-29 minutes153148$0
99204New patient office or other outpatient visit, 45-59 minutes138138$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus9690$0
81003Automated urinalysis test9386$0
View full utilization report →

Insurance plans in this area (ZIP 32086)

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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: 6204964877View full group profile

Reviews

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Frequently asked questions

How do I look up RANDOLPH W HEATH (PA-C) by NPI?
Use NPI 1306981378 when you need to reference RANDOLPH W HEATH (PA-C) in forms, claims, or directories.
Is RANDOLPH W HEATH (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does RANDOLPH W HEATH (PA-C) treat or focus on?
Patients typically see RANDOLPH W HEATH (PA-C) under the specialty Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is RANDOLPH W HEATH (PA-C)'s primary listing?
We display St Augustine, Florida because that is what the record indicates for RANDOLPH W HEATH (PA-C).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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