TAHLIA M. RANDALL PHYSICIAN ASSISTANT – NPI #1790204055
Physician Assistant

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.

TAHLIA RANDALL is a physician assistant located in FAYETTEVILLE, NC. NPPES has assigned the NPI number 1790204055 to TAHLIA RANDALL on September 18, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 363A00000X from the Health Care Provider Taxonomy code set, which is classified as Physician Assistant.

The NPI profile was previously updated about 7 years ago on Nov 14, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TAHLIA RANDALL below.

NPI Profile for
TAHLIA M. RANDALL

NPI Number
1790204055
Enumeration Date

(more than 8 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
TAHLIA M. RANDALL
Credentials
PHYSICIAN ASSISTANT
Primary location
217 GLENSFORD DR
FAYETTEVILLE, NC 28314
Phone: (910) 483-4647 Fax:
1 Other location(s):
1995 E Oakland Park Blvd Ste 250
Fort Lauderdale, FL 33306-1149
Phone: (954) 791-6146
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363A00000X
- Physician Assistant (Primary)
NC 10-09313

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Affiliations
TAHLIA RANDALL is affiliated with the following medical group(s):
  • HOSPITAL
    • CENTRAL CAROLINA HOSPITAL
      1135 CARTHAGE ST
      SANFORD, NC 27330
    • FIRSTHEALTH MOORE REGIONAL HOSPITAL
      155 MEMORIAL DRIVE
      PINEHURST, NC 28374

Why is my NPI data (personal information) being displayed publicly?
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