DR. RANDALL WILLIAM SIDES (PT) – Physical Therapist, NPI 1386173961

DR. RANDALL WILLIAM SIDES (PT) is a healthcare provider. based in Fort moore, Georgia. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. PT012909 (GA). The NPI Number for DR. RANDALL WILLIAM SIDES (PT) is 1386173961

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. RANDALL WILLIAM SIDES (PT)
NPI
1386173961
Phone
Not provided
Address
6600 VAN AALST BLVD BLDG 9250
Enumeration Date
7 June 2017
Last Update Date
10 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4043672080
Graduation Year
2017 (9 years ago)
PAC ID
3870868805
Group Practice PAC ID
4082890645
Professional Enrollment ID
I20171002001492
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Digital endpointsOther names

Provider Addresses for DR. RANDALL WILLIAM SIDES (PT)

  • 6600 VAN AALST BLVD BLDG 9250

    FORT MOORE, GA 319052102

    Phone:

    Type: Mailing

  • MARTIN ARMY

    6600 VAN AALST BLVD, BLDG 9250

    FORT MOORE, GA 31905

    Phone: (762) 408-0374

    Type: Location

  • 6600 VAN AALST BLVD

    FORT BENNING, GA 319052102

    Phone: (850) 945-6643

    Type: Mailing

  • 3682 BAY COVE CT

    LOGANVILLE, GA 300526629

    Phone: (770) 318-4669

    Type: Mailing

  • Satellite Boulevard Northwest, Suwanee, Gwinnett County, Georgia, 3097, United States

    SUWANEE, GA 300244637

    Phone: (404) 367-2080

    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.

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 31905)

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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: 4082890645View full group profile
NameSpecialtyState
Occupational Therapist In Private Practice, Physical Therapist In Private PracticeGA
Occupational Therapist In Private PracticeGA
Physical Therapist In Private PracticeNC
Physical Therapist In Private PracticeNC
-GA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
-GA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeTN

Reviews

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Frequently asked questions

How do I look up DR. RANDALL WILLIAM SIDES (PT) by NPI?
Use NPI 1386173961 when you need to reference DR. RANDALL WILLIAM SIDES (PT) in forms, claims, or directories.
Does this profile mean DR. RANDALL WILLIAM SIDES (PT) is currently active?
Yes — DR. RANDALL WILLIAM SIDES (PT) appears active in the national provider directory.
Can you summarize DR. RANDALL WILLIAM SIDES (PT)'s specialty in plain language?
Clinically, the directory lists DR. RANDALL WILLIAM SIDES (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for DR. RANDALL WILLIAM SIDES (PT)?
We surface Fort Moore, Georgia for DR. RANDALL WILLIAM SIDES (PT) based on available NPPES addresses.
What if Fort Moore, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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