Tahlia Randall, PHYSICIAN ASSISTANT
NPI 1790204055 · Physician Assistant · Fayetteville, NC
Tahlia Randall, PHYSICIAN ASSISTANT is a Physician Assistant provider in Fayetteville, NC (NPI 1790204055).
Provider details
- NPI number
- 1790204055
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Female
- Sole proprietor
- No
- License
- 10-09313 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1995 E Oakland Park Blvd Ste 250Fort Lauderdale, FL 33306-1149Phone: (954) 791-6146
Registry dates
- Enumerated
- 2017-09-18
- Last updated
- 2019-11-14
Frequently asked questions
- What is Tahlia Randall's NPI number?
- Tahlia Randall's National Provider Identifier (NPI) is 1790204055, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tahlia Randall's specialty?
- Tahlia Randall is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tahlia Randall located?
- Tahlia Randall's practice location on file with NPPES is 217 Glensford Dr, Fayetteville, NC 28314.
- What is Tahlia Randall's phone number?
- The practice phone number listed in the NPPES registry for Tahlia Randall is (910) 483-4647.
- Is Tahlia Randall's NPI active?
- Yes — Tahlia Randall's NPI (1790204055) is active in the NPPES registry as of the last update on 2019-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.