Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Tommy Lavaughn Randolph, MD

Individual provider Family Medicine Physician · NPI 1992805881

Dr. Tommy Lavaughn Randolph, MD is a Family Practice in Lake City, Florida. Graduated from University of Florida College of Medicine in 1982, 44 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
44
Trained at
University of Florida College of Medicine
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1847 SW Barnett Way
Lake City, FL 32025-6957
Phone: (386) 755-1440
Fax: (386) 758-5628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME46235 (FL)

Record details

NPI number1992805881
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 22, 2006
Last updated in NPPESJanuary 3, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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