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CLEVELAND W RANDOLPH, JR, MD, PA
NPI 1497808182
Specialist in Jacksonville Beach, FL

Active since January 18, 2007
1891 BEACH BLVD STE 200, JACKSONVILLE BEACH, FL 32250(904) 249-3743(904) 249-2047 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 1, 2025, Nov 5, 2025 (2 updates tracked since 2025).

About Cleveland W Randolph, Jr, Md, Pa NPPES

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

CLEVELAND W RANDOLPH, JR, MD, PA (NPI 1497808182), doing business as Dr. Randolph's Ageless & Wellness Medical Center, is a healthcare organization registered as a specialist in Jacksonville Beach, Florida and active in the NPI registry since January 2007. The organization lists Victoria Louise Galler, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1497808182
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCLEVELAND W RANDOLPH, JR, MD, PA
Location Address1891 BEACH BLVD STE 200Jacksonville Beach, FL 32250-2644
Mailing Address1891 Beach Blvd Ste 200Jacksonville Beach, FL 32250-2644 · (904) 249-3743 · Fax (904) 249-2047
Phone(904) 249-3743
Fax(904) 249-2047
Organization SubpartNo
Authorized OfficialVictoria Louise GallerPractice Administrator · (904) 249-3743
Enumeration DateJanuary 18, 2007
Last NPPES UpdateDecember 1, 20252 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
✔ NPI 1497808182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME0042493
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.
1891 BEACH BLVD STE 200, Jacksonville Beach, FL 32250
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Other Names 1

Doing Business AsDr. Randolph's Ageless & Wellness Medical Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES

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

MS. KRISTIN BRIANA BYERS ARNP
Nurse Practitioner (Women's Health)
1891 BEACH BLVD STE 200
JACKSONVILLE BEACH, FL 32250
Duval County (904) 249-3743

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 Cleveland W Randolph, Jr, MD, PA's NPI number?

The NPI number for Cleveland W Randolph, Jr, MD, PA is 1497808182. It was assigned to this organization in the NPPES registry on January 18, 2007. The provider is doing business as Dr. Randolph's Ageless & Wellness Medical Center.

Where is Cleveland W Randolph, Jr, MD, PA located?

Cleveland W Randolph, Jr, MD, PA is located at 1891 Beach Blvd Ste 200, Jacksonville Beach, FL 32250. The listed phone number is (904) 249-3743.

What is Cleveland W Randolph, Jr, MD, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Cleveland W Randolph, Jr, MD, PA accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Cleveland W Randolph, Jr, MD, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cleveland W Randolph, Jr, MD, PA was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.