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RANDALL B FULFORD PA-C
NPI 1295795896
Physician Assistant in Fernandina Beach, FL

Active since March 27, 2006
96279 BRADY POINT RD, FERNANDINA BEACH, FL 32034(904) 321-0088 Get Directions Write a Review

NPPES record last updated: February 1, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Randall B Fulford Pa-c NPPES

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

RANDALL B FULFORD PA-C (NPI 1295795896) is an individual physician assistant in Fernandina Beach, Florida, licensed in Florida (PA3183) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1295795896
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRANDALL B FULFORDCredential: PA-C
Location Address96279 BRADY POINT RDFernandina Beach, FL 32034-7076
Mailing Address7131 King Arthur Rd NJacksonville, FL 32211-4108 · (904) 338-1193
Phone(904) 321-0088
Sole ProprietorNo
Enumeration DateMarch 27, 2006
Last NPPES UpdateFebruary 1, 2017
✔ NPI 1295795896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in FL · PA3183✔ Licensed in GA · 004674
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.
96279 BRADY POINT RD, Fernandina Beach, FL 32034
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Other Identifiers 8

Medicaid100002029DGA
Medicare PINP00458590GA
Medicaid100002029BGA
Other01157676GA · Amerigroup
Medicare UPINP08104GA
Medicare PIN511I970136GA
Medicaid2909961-00FL
Medicaid100002029CGA

Other Providers at the Same Location NPPES 5

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

AMY BROOKE MENDONSA PA
Physician Assistant (Medical)
96279 BRADY POINT RD
FERNANDINA BEACH, FL 32034
Nassau County (904) 321-0088
H2 REHABILITATION SERVICES OF FLORIDA LLC
Clinic/Center (Rehabilitation)
96279 BRADY POINT RD, SUITE B
FERNANDINA BEACH, FL 32034
Nassau County (904) 261-7878
AMELIA URGENT CARE LLC
Clinic/Center (Critical Access Hospital)
96279 BRADY POINT RD
FERNANDINA BEACH, FL 32034
Nassau County (904) 321-1177
DR. DANIEL JAMES MATRICIA D.O.
Family Medicine
96279 BRADY POINT RD
FERNANDINA BEACH, FL 32034
Nassau County (904) 321-0088
ROBERT J MUNOZ P.A.
Physician Assistant
96279 BRADY POINT RD
FERNANDINA BEACH, FL 32034
Nassau County (904) 321-0088

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 Randall Fulford's NPI number?

The NPI number for Randall Fulford is 1295795896. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Randall Fulford located?

Randall Fulford practices at 96279 Brady Point Rd, Fernandina Beach, FL 32034. The listed phone number is (904) 321-0088.

What is Randall Fulford'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 Randall Fulford was last updated on February 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.