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

Mrs. Leslie Angelette Randolph-Moss, MPAS, PA-C

Individual provider Physician Assistant · NPI 1730283862

Mrs. Leslie Angelette Randolph-Moss, MPAS, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2006, 20 years ago. Practices with Physical Medicine Specialists, Inc, a 60-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Kansas.

Years since qualifying
20
Licensed in
FL, KS
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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4600 Middleton Park Cir E Apt D250
Jacksonville, FL 32224-4684
Phone: (090) 461-0339
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 — (571) 231-1018

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9113425 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 1061708 (KS)

Record details

NPI number1730283862
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPAS , PA-C
Sole proprietorNo
NPI enumeratedSeptember 11, 2006
Last updated in NPPESOctober 18, 2023
Certification dateMarch 11, 2022

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 Physical Medicine Specialists, Inc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jacksonville