Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295795896 Individual Practitioner Male Practitioner

Randall B Fulford , PA-C

Physician Assistant • Fernandina Beach, FL

Professional Overview & Biography Verified Profile Summary

Randall Fulford, PA-C is a registered healthcare professional specializing in Physician Assistant in Fernandina Beach, FL. Practice services are available at 96279 BRADY POINT RD under active NPI credentials.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

96279 Brady Point Rd

Fernandina Beach, FL 320347076

Telephone 9043210088
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fernandina Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.2 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
23 Specialists

Practicing in Fernandina Beach, FL (10376 Statewide)

Telehealth Adoption Rate
21.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
47 35 $490.64 $62.87

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA3183

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License GA 004674

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100002029D (GA)
Medicaid State Provider ID
100002029B (GA)
Medicaid State Provider ID
100002029C (GA)
Medicaid State Provider ID
2909961-00 (FL)
Commercial Insurance / Payer ID Amerigroup
01157676 (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Amy Mendonsa , PA

Physician Assistant

NPI 1225385453

Physician Assistant

NPI 1912972530

Doctor of Osteopathic Medicine (D.O.)

Robert Munoz , PA

Physician Assistant

NPI 1972589612

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active February 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 01, 2017

Registered at 96279 BRADY POINT RD, FERNANDINA BEACH, FL 320347076 (Tel: 9043210088)

📍
Updated Business Mailing Address February 01, 2017

Registered at 7131 KING ARTHUR RD N, JACKSONVILLE, FL 322114108 (Tel: 9043381193)

👤
Provider Name / Credentials Updated February 01, 2017

Recorded as RANDALL FULFORD, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2017

Physician Assistant (License #PA3183 in FL)

NPI Profile Active November 06, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location November 06, 2009

Registered at 2 SHIRCLIFF WAY, SUITE 300, JACKSONVILLE, FL 322044753 (Tel: 9043881400)

📍
Updated Business Mailing Address November 06, 2009

Registered at 12130 RED BARN CT, JACKSONVILLE, FL 322264757 (Tel: 9043740886)

👤
Provider Name / Credentials Updated November 06, 2009

Recorded as RANDALL FULFORD, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2009

Physician Assistant (License #PA3183 in FL)

🟢
Initial NPI Registration & Enumeration March 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Randall Fulford. Be the first to share your experience!

Sign in to leave a review for Randall Fulford

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1295795896
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2006
Last Update: February 01, 2017
Sole Proprietor: No

Mailing Address

7131 King Arthur Rd N

Jacksonville, FL 322114108

Phone: 9043381193

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.