Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053627265 Individual Practitioner Male Practitioner

Randy Ranshawn Moore , PA-C

Physician Assistant • Longview, TX

Professional Overview & Biography Verified Profile Summary

Randy Moore, PA-C is a registered healthcare professional specializing in Physician Assistant in Longview, TX. Practice services are available at 425 N FREDONIA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

425 N Fredonia St

Longview, TX 756016464

Telephone 9037582610
Fax 9037587081
Associated Practice Facility / Clinic
🏢 Longview Wellness Center Inc Facility NPI 1093491243

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Longview, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.4 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
49 Specialists

Practicing in Longview, TX (11140 Statewide)

Telehealth Adoption Rate
16.3% 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

CMS Verified: 2025-08-26
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA07050

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 TX PA07050

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License TX PA07050

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

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.

Secondary Practice Locations

602 Titus St Ste 130

Gilmer, TX 756441780

Phone: 9037582610

1107 E Marshall Ave

Longview, TX 756015602

Phone: 9037582610

1711 S Henderson Blvd Ste 400

Kilgore, TX 756623592

Phone: 9037582610

2131 S Mobberly Ave

Longview, TX 756023563

Phone: 9037582610

1001 W Fairmont St

Longview, TX 756043511

Phone: 9037582610

1701 Pine Tree Rd

Longview, TX 756041909

Phone: 9037582610

1761 W Loop 281

Longview, TX 756042734

Phone: 9037582610

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Ralph Turner , MD

Obstetrics & Gynecology

NPI 1013950997

Doctor of Medicine (M.D.)

Lizeth Garcia , RN

Registered Nurse - Case Management

NPI 1023650082

Registered Nurse

Nora Eades , LCSW

Social Worker - Clinical

NPI 1053712547

Licensed Clinical Social Worker

Lexi Monds , FNP-C

Nurse Practitioner - Family

NPI 1063285856

Family Nurse Practitioner (Certified)

Sandra Aguilar , APRN

Nurse Practitioner - Family

NPI 1083486989

Advanced Practice Registered Nurse

Treva Waters-Barham , LPC

Counselor - Professional

NPI 1083906291

Licensed Professional Counselor

Career & Practice History Timeline

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

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2024

Physician Assistant (License #PA07050 in TX)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2024

Physician Assistant (License #PA07050 in TX)

📍
Updated Practice Location September 25, 2023

Registered at 425 N FREDONIA ST, LONGVIEW, TX 756016464 (Tel: 9037582610)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2022

Physician Assistant

NPI Profile Active July 02, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2013

Registered at 1107 E MARSHALL AVE, LONGVIEW, TX 756015602 (Tel: 9037582610)

📍
Updated Business Mailing Address July 02, 2013

Registered at 1107 E MARSHALL AVE, LONGVIEW, TX 756015602 (Tel: 9037582610)

👤
Provider Name / Credentials Updated July 02, 2013

Recorded as RANDY MOORE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2013

Physician Assistant (License #PA07050 in TX)

🟢
Initial NPI Registration & Enumeration August 25, 2010

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: 1053627265
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2010
Last Update: August 26, 2025
Sole Proprietor: No

Mailing Address

1107 E Marshall Ave

Longview, TX 756015602

Phone: 9037582610

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.