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

Sallie Elizabeth Randall, PA-C

Individual provider Medical Physician Assistant · NPI 1144864398

Sallie Elizabeth Randall, PA-C is a Physician Assistant in Lexington, Kentucky. Qualified in 2024, 2 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
2
Licensed in
KY
In the registry since
2019
Specialties on file
6
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

800 Rose St
Lexington, KY 40536-5837
Phone: (859) 323-6047
Fax: (859) 257-3873
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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 PA2895 (KY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence TC088 (KY)
Physician Assistant Taxonomy 363A00000X · Licence TC088 (KY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA2895 (KY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence TC088 (KY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA2895 (KY)

Record details

NPI number1144864398
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 31, 2019
Last updated in NPPESJanuary 27, 2022
Certification dateJanuary 27, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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