DR. RANDALL FREDERICK O'BRIEN M.D.
NPI 1346236155
Specialist in Waycross, GA

Active since September 27, 2005
2003 ALICE ST, SUITE A, WAYCROSS, GA 31501(912) 287-1130(912) 287-9114 Get Directions Write a Review

NPPES record last updated: March 25, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Randall Frederick O'brien M.d. NPPES

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

DR. RANDALL FREDERICK O'BRIEN M.D. (NPI 1346236155) is an individual specialist in Waycross, Georgia, licensed in Georgia (43249) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1346236155
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. RANDALL FREDERICK O'BRIENCredential: M.D.
Location Address2003 ALICE ST, SUITE AWaycross, GA 31501-6209
Mailing AddressPo Box 2267Waycross, GA 31502-2267 · (912) 283-9309 · Fax (912) 287-1231
Fax(912) 287-9114
Sole ProprietorNo
Enumeration DateSeptember 27, 2005
Last NPPES UpdateMarch 25, 2010
NPI 1346236155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in GA · 43249
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2003 ALICE ST, Waycross, GA 31501

Other Identifiers 5

Medicare UPINF45932GA
Other200040070GA · Palmetto Gba
Medicare NSC4309190001GA
Medicare ID-Type Unspecified20BBFDR
Medicaid00764772CGA

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Clinic/Center (Ambulatory Surgical)
2003 ALICE ST
WAYCROSS, GA 31501
Podiatrist (Foot & Ankle Surgery)
2003 ALICE ST
WAYCROSS, GA 31501
Orthopaedic Surgery
2003 ALICE ST, STE A
WAYCROSS, GA 31501
Anesthesiology
2003 ALICE ST, SUITE 2003B
WAYCROSS, GA 31501
Physical Therapist
2003 ALICE ST
WAYCROSS, GA 31501
Podiatrist
2003 ALICE ST
WAYCROSS, GA 31501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346236155, enumerated as an "individual" on September 27, 2005.

The provider is located at 2003 ALICE ST SUITE A WAYCROSS, GA 31501 and the phone number is (912) 287-1130.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.