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

Individual provider Physician Assistant · NPI 1164973798

Randall Mills, PA-C is a Physician Assistant in London, Kentucky. Graduated from Lincoln Memorial University Medical Department in 2016, 10 years ago. Practices with Kentuckyone Health Medical Group Inc, a 252-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
10
Trained at
Lincoln Memorial University Medical Department
Licensed in
KY
In the registry since
2016
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

1210 W 5th St
London, KY 40741-2112
Phone: (606) 864-4040
Fax: (606) 878-3151
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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 TC546 (KY)

Record details

NPI number1164973798
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 19, 2016
Last updated in NPPESMay 3, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2016 (10 years in practice)
Group practice Kentuckyone Health Medical Group Inc — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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