Randall Mathis, PA-C
Randall Mathis, PA-C is a Surgical Physician Assistant in St Augustine, FL, registered under NPI 1922055391. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 100 WHETSTONE PL STE 310, St Augustine, FL 32086. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| PA9101202 | FL | Surgical Physician Assistant primary |
| PA9101202 | FL | Physician Assistant |
This provider holds licence PA9101202 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Surgical covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363AS0400X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363AS0400X | Surgical Physician Assistant Surgical | PA9101202 | FL | primary |
| 363A00000X | Physician Assistant | PA9101202 | FL |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1922055391 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 30, 2006 |
| Last updated | Apr 16, 2012 |
| Status | Active |
| Sole proprietor | No |
| Credential | PA-C |
| Practice address |
100 WHETSTONE PL STE 310 St Augustine, FL 32086 (904) 217-7450 Fax (904) 217-7483 |
| Mailing address |
PO BOX 3123 St Augustine, FL 32085 |
| Other identifiers |
004707900
· Medicaid (FL) Y04HB · Other (FL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 2 | 2 | 0 | 5 | 5 | 3 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 4 | 2 | 0 | 5 | 1 | 3 | 9 |
Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.