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RANDY WALL PA
NPI 1588760391
Physician Assistant in Clarksville, TN

Active since September 16, 2006
651 DUNLOP LN, CLARKSVILLE, TN 37040(931) 502-1370(615) 269-0135 Get Directions Write a Review

NPPES record last updated: August 4, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Randy Wall Pa NPPES

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

RANDY WALL PA (NPI 1588760391) is an individual physician assistant in Clarksville, Tennessee, licensed in Tennessee (446) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1588760391
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRANDY WALLCredential: PA
Location Address651 DUNLOP LNClarksville, TN 37040-5015
Mailing Address2020 21st Ave S, Suite 201Nashville, TN 37212-4354 · (615) 269-0652 · Fax (615) 269-0135
Phone(931) 502-1370
Fax(615) 269-0135
Sole ProprietorNo
Enumeration DateSeptember 16, 2006
Last NPPES UpdateAugust 4, 2011
✔ NPI 1588760391 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 TN · 446
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.
651 DUNLOP LN, Clarksville, TN 37040
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Other Identifiers 2

OtherP00367293TN · Railroad Medicare
Medicare PIN3666737TN

Other Providers at the Same Location NPPES 20

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

MARK ARRINGTON CRNA
Nurse Anesthetist, Certified Registered
651 DUNLOP LN
CLARKSVILLE, TN 37040
Montgomery County (931) 551-1795
MAGPIE EMERGENCY PHYSICIANS PLLC
Emergency Medicine
651 DUNLOP LN
CLARKSVILLE, TN 37040
Montgomery County (931) 502-1000
GRACKLE EMERGENCY PHYSICIANS, LLC
Emergency Medicine
651 DUNLOP LN
CLARKSVILLE, TN 37040
Montgomery County (931) 502-1000
DOUG U. HONG MD
Specialist
651 DUNLOP LN
CLARKSVILLE, TN 37040
Montgomery County (931) 502-1000
IAN PHILLIP HUFF D.O.
Emergency Medicine
651 DUNLOP LN
CLARKSVILLE, TN 37040
Montgomery County (615) 369-6449
CAITLYNN RICHOLE POYNTER RDN, LDN, CDCES
Dietitian, Registered
651 DUNLOP LN
CLARKSVILLE, TN 37040
Montgomery County (931) 502-1690
JENNIFER CATES NP
Nurse Practitioner (Acute Care)
651 DUNLOP LN
CLARKSVILLE, TN 37040
Montgomery County (931) 502-1000
DR. MALCOLM A STEELE MD
Emergency Medicine
651 DUNLOP LN
CLARKSVILLE, TN 37040
Montgomery County (931) 502-1370

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 Randy Wall's NPI number?

The NPI number for Randy Wall is 1588760391. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Randy Wall located?

Randy Wall practices at 651 Dunlop Ln, Clarksville, TN 37040. The listed phone number is (931) 502-1370.

What is Randy Wall'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 Randy Wall was last updated on August 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.