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

Michael L. Randall, PA

Individual provider Medical Physician Assistant · NPI 1639209448

Michael L. Randall, PA is a Physician Assistant in Columbus, Georgia. Qualified in 2006, 20 years ago. Practices with Peachtree Immediate Care Fp, LLC, a 326-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
20
Licensed in
AL
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

101 13th St Ste 200
Columbus, GA 31901-2101
Phone: (706) 494-4949
Fax: (706) 494-4940
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA-517 (AL)

Record details

NPI number1639209448
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 7, 2007
Last updated in NPPESDecember 7, 2015
Mailing addressPo Box 1038, Columbus, GA 31902-1038

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Peachtree Immediate Care Fp, Llc — 326 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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