Mr. Randall T Mathis, PA-C
Mr. Randall T Mathis is a Surgical Physician Assistant provider (Physician Assistant) practicing in St Augustine, FL, registered in the NPPES registry with NPI 1922055391 since 2006.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1922055391 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mr. Randall T Mathis |
| Credential | PA-C |
| Sex | Male |
| Practice address | 100 WHETSTONE PL, STE 310, St Augustine, FL, 32086 |
| Phone | 9042177450 |
| Fax | 9042177483 |
| Enumeration date | 2006-05-30 |
| Last updated in NPPES | 2012-04-16 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | Secondary | PA9101202 | FL |
| 363AS0400X | Surgical Physician Assistant | Primary | PA9101202 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004707900 | Medicaid | FL | — |
| Y04HB | Other | FL | BCBS |
Copy-ready billing details
Provider: Randall Mathis, PA-C NPI: 1922055391 Taxonomy: 363AS0400X (Surgical Physician Assistant) Address: 100 WHETSTONE PL, STE 310, St Augustine, FL, 32086
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1063410991 | Bernard Borbely | Individual | Pulmonary Disease Physician | St Augustine, FL |
| 1528068624 | First Coast Gastroenterology | Organization | Gastroenterology Physician | St Augustine, FL |
| 1023008489 | Patrick Ziemann-Gimmel | Individual | Anesthesiology Physician | St Augustine, FL |
| 1962486324 | David Tuchinsky | Individual | Chiropractor | St Augustine, FL |
| 1114906195 | William Foody | Individual | Gastroenterology Physician | St Augustine, FL |
| 1598715229 | Ramzi Shaqareq | Individual | Pulmonary Disease Physician | St Augustine, FL |
| 1063466845 | Walid Omar | Individual | Family Medicine Physician | St Augustine, FL |
| 1447276852 | Monali Manikal | Individual | Pediatrics Physician | St Augustine, FL |
Verify this record
Cross-check NPI 1922055391 against the authoritative CMS record: view Mr. Randall T Mathis on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-04-16.