Individual provider · Type 1 NPI

Peyton B. Randolph, PA-C

Physician Assistant · Jacksonville, FL

NPI number 1730710146 Active

Practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Call (904) 532-0009 Map

Mailing address

PO Box 860912
Minneapolis, MN 55486-0912

Other practice locations

  • 836 Prudential Dr Ste 1700, Jacksonville, FL 32207-8344 · (904) 398-0125

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9114514 (FL)

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, orde…

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About NPI 1730710146

Peyton B. Randolph, PA-C's National Provider Identifier is 1730710146, issued on Feb 4, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 16, 2026.