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

Mr. Thomas Randall Humphrey, PA

Individual provider Physician Assistant · NPI 1164733697

Mr. Thomas Randall Humphrey, PA is a Physician Assistant in Roswell, Georgia. Licensed in Georgia. Registered with an NPI since 2010.

Licensed in
GA
In the registry since
2010
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

1357 Hembree Rd Ste 250
Roswell, GA 30076-5722
Phone: (770) 475-7550
Fax: (770) 343-9080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001599 (GA)

Record details

NPI number1164733697
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 30, 2010
Last updated in NPPESJanuary 20, 2015

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