ALTHEAL RANDOLPH PA
NPI 1376093864
Physician Assistant - Medical in Jemison, AL

Q: What is Altheal Randolph's NPI number?

The NPI number for Altheal Randolph is 1376093864. It was assigned to this individual provider in the NPPES registry on October 7, 2016.

Q: What is Altheal Randolph's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Altheal Randolph was last updated on October 7, 2016. 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.

Active since October 07, 2016

340 COUNTY ROAD 126, JEMISON, AL 35085(205) 908-8304(205) 688-2545 Get Directions Write a Review

NPPES record last updated: October 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Altheal Randolph Pa NPPES

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

ALTHEAL RANDOLPH PA (NPI 1376093864) is an individual medical provider in Jemison, Alabama, licensed in Alabama (PA190) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1376093864

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameALTHEAL RANDOLPHCredential: PA

Location Address340 COUNTY ROAD 126Jemison, AL 35085-3106

Mailing Address340 County RoadJemison, AL 35085-3106 · (205) 908-8304 · Fax (205) 688-2545

Phone(205) 908-8304

Fax(205) 688-2545

Sole ProprietorYes

Enumeration DateOctober 7, 2016

✔ NPI 1376093864 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 AL · PA190

340 COUNTY ROAD 126, Jemison, AL 35085

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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 Altheal Randolph's NPI number?

The NPI number for Altheal Randolph is 1376093864. It was assigned to this individual provider in the NPPES registry on October 7, 2016.

Where is Altheal Randolph located?

Altheal Randolph practices at 340 County Road 126, Jemison, AL 35085. The listed phone number is (205) 908-8304.

What is Altheal Randolph's specialty?

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

When was this NPI record last updated?

The NPPES record for Altheal Randolph was last updated on October 7, 2016. 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.