Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669464236 Individual Practitioner Male Practitioner

Dr. Randolph Barret Mahoney , PA-C, PhD

Physician Assistant • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Randolph Mahoney, PA-C, PhD is a registered healthcare professional specializing in Physician Assistant in Jacksonville, FL. Practice services are available at 1541 RIVERSIDE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1541 Riverside Ave

Jacksonville, FL 322044124

Telephone 9043544488
Fax 9046348912
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.2 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
844 Specialists

Practicing in Jacksonville, FL (10376 Statewide)

Telehealth Adoption Rate
20.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA 9101713

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 - Medical

NUCC Taxonomy Code: 363AM0700X

State License FL PA 9101713

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License FL PA 9101713

Definition to come...

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1265422729

Doctor of Medicine (M.D.)

Dr. Robert Brown , MD

Dermatology - Procedural Dermatology

NPI 1447242748

Doctor of Medicine (M.D.)

NPI 1548418346

Doctor of Medicine (M.D.)

Ina Sanson , PA-C

Physician Assistant - Medical

NPI 1578543674

Physician Assistant (Certified)

NPI 1922098441

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 14, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 14, 2007

Registered at 1541 RIVERSIDE AVE, JACKSONVILLE, FL 322044124 (Tel: 9043544488)

📍
Updated Business Mailing Address November 14, 2007

Registered at PO BOX 42, JACKSONVILLE, FL 322100042 (Tel: 9043544488)

👤
Provider Name / Credentials Updated November 14, 2007

Recorded as RANDOLPH MAHONEY, PA-C, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2007

Physician Assistant (License #PA 9101713 in FL)

🟢
Initial NPI Registration & Enumeration August 18, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669464236
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2005
Last Update: November 14, 2007
Sole Proprietor: No

Mailing Address

Po Box 42

Jacksonville, FL 322100042

Phone: 9043544488

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.