RANDALL R SOUTHARDS PA
NPI 1841233186
Physician Assistant in Marshfield, WI

Q: What is Randall Southards's NPI number?

The NPI number for Randall Southards is 1841233186. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Q: What is Randall Southards's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Randall Southards was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment

1000 N OAK AVE, MARSHFIELD, WI 54449(715) 387-5511 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 17, 2025, Dec 11, 2023 (2 updates tracked since 2023).

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About Randall R Southards Pa NPPES

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

RANDALL R SOUTHARDS PA (NPI 1841233186) is an individual physician assistant in Marshfield, Wisconsin, licensed in Wisconsin (1402) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1841233186

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameRANDALL R SOUTHARDSCredential: PA

Location Address1000 N OAK AVEMarshfield, WI 54449-5703

Mailing Address2845 Greenbrier Rd Ste 320, Po Box 8900Green Bay, WI 54308-8900 · (920) 288-8320 · Fax (920) 288-8325

Phone(715) 387-5511

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJune 14, 2006

Last NPPES UpdateSeptember 17, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2025

✔ NPI 1841233186 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 WI · 1402✔ Licensed in FL · PA9120374

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.

1000 N OAK AVE, Marshfield, WI 54449

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Secondary Practice Location 1

Location 12845 Greenbrier Rd Ste 320Green Bay, WI 54311-6519 · Phone (920) 288-8320 · Fax (920) 288-8325

Other Identifiers 1

Medicaid41958200WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Randall R Southards Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244295228

PECOS Enrollment IDI20041201000739

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520037

Location611 St Joseph AveMarshfield, WI 54449 · Wood County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54449 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

ALISON RAE SAMPSON D.O.

Obstetrics & Gynecology