MR. THOMAS RANDALL HUMPHREY PA
NPI 1164733697
Physician Assistant in Roswell, GA

Active since June 30, 2010
1357 HEMBREE RD, SUITE 250, ROSWELL, GA 30076(770) 475-7550(770) 343-9080 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Thomas Randall Humphrey Pa NPPES

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

MR. THOMAS RANDALL HUMPHREY PA (NPI 1164733697) is an individual physician assistant in Roswell, Georgia, licensed in Georgia (001599) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1164733697
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. THOMAS RANDALL HUMPHREYCredential: PA
Location Address1357 HEMBREE RD, SUITE 250Roswell, GA 30076-5722
Mailing Address1930 Brannan RdMcdonough, GA 30253-4310 · (678) 284-4040 · Fax (678) 284-4076
Fax(770) 343-9080
Sole ProprietorNo
Enumeration DateJune 30, 2010
Last NPPES UpdateJanuary 20, 2015
NPI 1164733697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 001599
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1357 HEMBREE RD, Roswell, GA 30076

Other Identifiers 1

Medicare UPINQ21706GA

Other Providers at the Same Location NPPES 12

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

Specialist
1357 HEMBREE RD, SUITE 100
ROSWELL, GA 30076
Internal Medicine (Cardiovascular Disease)
1357 HEMBREE RD, 150
ROSWELL, GA 30076
Nurse Practitioner
1357 HEMBREE RD, 150
ROSWELL, GA 30076
Urology
1357 HEMBREE RD, SUITE 250
ROSWELL, GA 30076
Urology
1357 HEMBREE RD, STE 250
ROSWELL, GA 30076
Specialist
1357 HEMBREE RD, SUITE 120
ROSWELL, GA 30076
Plastic Surgery
1357 HEMBREE RD, SUITE 200
ROSWELL, GA 30076
Physician Assistant (Medical)
1357 HEMBREE RD, SUITE 250
ROSWELL, GA 30076

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 Thomas Humphrey's NPI number?

The NPI number for Thomas Humphrey is 1164733697. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Where is Thomas Humphrey located?

Thomas Humphrey practices at 1357 Hembree Rd Suite 250, Roswell, GA 30076. The listed phone number is (770) 475-7550.

What is Thomas Humphrey's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Thomas Humphrey was last updated on January 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.