MR. RANDALL T MATHIS (PA-C) – Surgical Physician Assistant, NPI 1922055391

Surgical Physician Assistant

MR. RANDALL T MATHIS (PA-C) is a healthcare provider. based in St augustine, Florida. specializing in Surgical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA9101202 (FL). The NPI Number for MR. RANDALL T MATHIS (PA-C) is 1922055391

Main info

Male

27 Years Of Experience

Accepts Medicare Assignment

Name

MR. RANDALL T MATHIS (PA-C)

NPI

1922055391

Phone

(904) 217-7450

Address

PO BOX 3123

Enumeration Date

30 May 2006

Last Update Date

16 April 2012

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9042177450

Graduation Year

1999 (27 years ago)

PAC ID

4082647268

Group Practice PAC ID

9234315987

Professional Enrollment ID

I20050917000194

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience59

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. RANDALL T MATHIS (PA-C)

St Augustine Post Office, 34, Main Street, St. Augustine, Knox County, Illinois, 61474, United States
ST AUGUSTINE, FL 320853123
Phone: (904) 217-7450
Fax: (904) 217-7483
Type: Mailing
100, Whetstone Place, Bailey Plaza, St. Augustine South, Saint Johns County, Florida, 32086, United States
STE 310
ST AUGUSTINE, FL 320865774
Phone: (904) 217-7450
Fax: (904) 217-7483
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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

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

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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 32085)

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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: 9234315987View full group profile

Name	Specialty	State
DR. BERNARD H. GUIOT (M.D.)	-	FL
Unknown Individual	-	FL
DAVID LANCE GREENWALD (M.D.)	-	FL

Reviews

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Frequently asked questions

What federal number belongs to MR. RANDALL T MATHIS (PA-C)?

The federal identifier for MR. RANDALL T MATHIS (PA-C) is NPI 1922055391.

Does this profile mean MR. RANDALL T MATHIS (PA-C) is currently active?

Yes — MR. RANDALL T MATHIS (PA-C) appears active in the national provider directory.

What does MR. RANDALL T MATHIS (PA-C) treat or focus on?

Patients typically see MR. RANDALL T MATHIS (PA-C) under the specialty Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.

Does MR. RANDALL T MATHIS (PA-C) practice in Florida?

You will see St Augustine, Florida on file for MR. RANDALL T MATHIS (PA-C) alongside any extra practice locations.

Is this NPI for an individual or an organization?

This listing corresponds to an Individual Provider.