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RANDAL PAIGE ANTLE PA-C
NPI 1124262423
Physician Assistant - Medical in Decatur, GA

Active since April 30, 2009PECOS Enrolled
1951 CLAIRMONT RD, DECATUR, GA 30033(404) 321-4600(404) 320-0987 Get Directions Write a Review

NPPES record last updated: April 14, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randal Paige Antle Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDAL PAIGE ANTLE PA-C (NPI 1124262423) is an individual medical provider in Decatur, Georgia, licensed in Georgia (1875) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124262423
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameRANDAL PAIGE ANTLECredential: PA-C
Location Address1951 CLAIRMONT RDDecatur, GA 30033-3415
Mailing Address2665 N Decatur Rd, Suite 650Decatur, GA 30033-6149 · (404) 508-0566 · Fax (404) 508-0567
Phone(404) 321-4600
Fax(404) 320-0987
Sole ProprietorNo
Enumeration DateApril 30, 2009
Last NPPES UpdateApril 14, 2014
✔ NPI 1124262423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 1875
1951 CLAIRMONT RD, Decatur, GA 30033
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Other Identifiers 1

Medicare PIN202I979208GA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randal Paige Antle Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RHEA V DOUGLAS P.A.
Physician Assistant (Medical)
1951 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-4600
DERMATOLOGY ASSOCIATES OF GEORGIA, LLC
Specialist
1951 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-4600
DR. HOLLY L HANSON MD, PHD
Dermatology
1951 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 508-0566
DR. CARL V WASHINGTON M.D.
Dermatology (Procedural Dermatology)
1951 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-4600
MRS. AMANDA A SANDERS PA-C
Physician Assistant (Medical)
1951 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 296-8000
DAMON VAN MAULDIN MD
Dermatology
1951 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-4600
DYLAN GRACE HASSETT PA-C
Physician Assistant
1951 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-4600
MARCUS R STONECIPHER MD
Dermatology
1951 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-4600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randal Antle's NPI number?

The NPI number for Randal Antle is 1124262423. It was assigned to this individual provider in the NPPES registry on April 30, 2009.

Where is Randal Antle located?

Randal Antle practices at 1951 Clairmont Rd, Decatur, GA 30033. The listed phone number is (404) 321-4600.

What is Randal Antle's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Randal Antle enrolled in Medicare?

Yes. Randal Antle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randal Antle was last updated on April 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.