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

Mr. Randall T Mathis, PA-C

Individual provider Physician Assistant · NPI 1922055391

Mr. Randall T Mathis, PA-C is a Physician Assistant in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

100 Whetstone Pl Ste 310
St Augustine, FL 32086-5774
Phone: (904) 217-7450
Fax: (904) 217-7483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9101202 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA9101202 (FL)

Record details

NPI number1922055391
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 30, 2006
Last updated in NPPESApril 16, 2012

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