Dr. Athena R Randolph , MD
Pediatrics • Lake City, FL
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Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Athena Randolph has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Athena Randolph, MD was a registered Pediatrics practicing in Lake City, FL. Throughout an active medical career spanning 15 years, Dr. Randolph provided care at the practice location at 1847 SW BARNETT WAY until profile deactivation on 2021-03-12.
Practice Location & Contact Primary Location
1847 Sw Barnett Way
Lake City, FL 320256957
Specialty Benchmarks & Practice Insights
Comparative analytics for Pediatrics in Lake City, FL
Practicing in Lake City, FL (4160 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208000000X
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 12, 2021
NPI status registered as active in NPPES database
Registered at 1847 SW BARNETT WAY, LAKE CITY, FL 320256957 (Tel: 3867551440)
Registered at 1847 SW BARNETT WAY, LAKE CITY, FL 320256957 (Tel: 3867551440)
Recorded as ATHENA RANDOLPH, M.D.
Pediatrics (License #ME51982 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1847 Sw Barnett Way
Lake City, FL 320256957
Phone: 3867551440
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.