MR. RANDALL T MATHIS PA-C
NPI 1922055391
Physician Assistant - Surgical in St Augustine, FL

Q: What is Randall Mathis's NPI number?

The NPI number for Randall Mathis is 1922055391. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Q: What is Randall Mathis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Randall Mathis was last updated on April 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 May 30, 2006

100 WHETSTONE PL, STE 310, ST AUGUSTINE, FL 32086(904) 217-7450(904) 217-7483 Get Directions Write a Review

NPPES record last updated: April 16, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Randall T Mathis Pa-c NPPES

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

MR. RANDALL T MATHIS PA-C (NPI 1922055391) is an individual surgical provider in St Augustine, Florida, licensed in Florida (PA9101202) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1922055391

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. RANDALL T MATHISCredential: PA-C

Location Address100 WHETSTONE PL, STE 310St Augustine, FL 32086-5774

Mailing AddressPo Box 3123St Augustine, FL 32085-3123 · (904) 217-7450 · Fax (904) 217-7483

Phone(904) 217-7450

Fax(904) 217-7483

Sole ProprietorNo

Enumeration DateMay 30, 2006

Last NPPES UpdateApril 16, 2012

✔ NPI 1922055391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in FL · PA9101202

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA9101202 (FL)

100 WHETSTONE PL, St Augustine, FL 32086

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Other Identifiers 3

OtherY04HBFL · Bcbs

Medicaid004707900FL

Medicare PINE3585TFL

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%63 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

PATRICK ZIEMANN-GIMMEL MD

Anesthesiology

100 WHETSTONE PL
ST AUGUSTINE, FL 32086

St. Johns County (904) 819-4478

LIGHTHOUSE PEDIATRICS PLLC

Pediatrics

100 WHETSTONE PL, SUITE 211
ST AUGUSTINE, FL 32086

St. Johns County (904) 342-7648

WILLIAM J OKTAVEC MD PA

Ophthalmology

100 WHETSTONE PL, SUITE 106
ST AUGUSTINE, FL 32086

St. Johns County (904) 826-3937

BERNARD R BORBELY MD

Internal Medicine (Pulmonary Disease)

100 WHETSTONE PL, SUITE208
ST AUGUSTINE, FL 32086

St. Johns County (904) 819-6800

DR. WALID OMAR MD

Family Medicine

100 WHETSTONE PL, SUITE 204
ST AUGUSTINE, FL 32086

St. Johns County (217) 720-3144

BETHANY ANN BROWN ARNP

Nurse Practitioner

100 WHETSTONE PL
SAINT AUGUSTINE, FL 32086

St. Johns County (904) 746-1095

FARGHALY MEDICAL, PLLC

Family Medicine

100 WHETSTONE PL, SUITE 208
ST AUGUSTINE, FL 32086

St. Johns County (904) 826-7932

DR. WILLIAM FRANCIS FOODY JR. M.D.

Internal Medicine (Gastroenterology)

100 WHETSTONE PL, STE 105
ST AUGUSTINE, FL 32086

St. Johns County (904) 829-9557

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 Randall Mathis's NPI number?

The NPI number for Randall Mathis is 1922055391. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Randall Mathis located?

Randall Mathis practices at 100 Whetstone Pl Ste 310, St Augustine, FL 32086. The listed phone number is (904) 217-7450.

What is Randall Mathis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Randall Mathis was last updated on April 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.