MR. THOMAS RANDALL HUMPHREY (NPI# 1164733697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164733697 |
| Entity Type | Individual |
| Full Name | MR. THOMAS RANDALL HUMPHREY |
| Credential | PA |
| Practice Address |
1357 Hembree Rd Suite 250 Roswell GA 30076-5722 |
| Mailing Address |
1930 Brannan Rd Mcdonough GA 30253-4310 |
| Practice Telephone | 7704757550 |
| Practice Fax Number | 7703439080 |
| Mailing Telephone | 6782844040 |
| Mailing Fax Number | 6782844076 |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2015-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 001599 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578935441 | Thomas Humphrey | Social Worker | 400 E Red Bridge Rd Ste 203, Kansas City, MO 64131-4030 | 2015-10-30 |
| 1184724973 | Thomas Sheldon Humphrey | Nurse Anesthetist, Certified Registered | 4301 Saint Andrews St, Howell, MI 48843-7469 | 2006-09-22 |
| 1275623423 | Thomas Humphrey | Physician Assistant | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2006-10-16 |
| Street Address |
1357 HEMBREE RD SUITE 250 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-5722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467611 | John Leihugh Moseley | Urology | 1357 Hembree Rd, Suite 250, Roswell, GA 30076 | 2005-06-16 |
| 1538537923 | Northside Plastic Surgery of Atlanta, LLC | Plastic Surgery | 1357 Hembree Rd, Suite 200, Roswell, GA 30076-5722 | 2015-09-02 |
| 1902273709 | Vascular Institute of Atlanta, LLC | Surgery | 1357 Hembree Rd, Suite 240, Roswell, GA 30076-5722 | 2015-08-27 |
| 1699112953 | Steven Clint Manley | Physician Assistant | 1357 Hembree Rd, Suite 250, Roswell, GA 30076-5722 | 2013-05-28 |
| 1396039020 | Lauren Hall Randall | Internal Medicine | 1357 Hembree Rd, Suite 150, Roswell, GA 30076-5722 | 2011-05-27 |
| 1790075117 | Dr. Brian K. Howard P.C. | Plastic Surgery | 1357 Hembree Rd, Suite 200, Roswell, GA 30076-5722 | 2011-04-19 |
| 1487951364 | The Sleep Specialty Center of Ga, LLC | Specialist | 1357 Hembree Rd, Suite 120, Roswell, GA 30076-5722 | 2011-02-11 |
| 1386870731 | Adamantios Michael Mellis | Urology | 1357 Hembree Rd, Ste 250, Roswell, GA 30076-5722 | 2009-05-29 |
| 1134315641 | North Atlanta Heart Group | Internal Medicine | 1357 Hembree Rd, 150, Roswell, GA 30076-5722 | 2007-09-18 |
| 1144358508 | Margaret Sharp | Nurse Practitioner | 1357 Hembree Rd, 150, Roswell, GA 30076-5722 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790232031 | Christina Danielle Dicioccio | Physician Assistant | 11040 Crabapple Rd # Suiea, Roswell, GA 30075 | 2016-09-02 |
| 1598934481 | Andrew Neil Wasserberg | Physician Assistant | 400 N. Pennsylvania Ave, Suite 101, Roswell, NM 88201 | 2008-02-25 |
| 1073572954 | Thomas Alan Geckler | Physician Assistant | 500 Sun Valley Dr, Suite A-2, Roswell, GA 30076-1482 | 2006-03-21 |
| 1861481335 | Anna Marie Bauer | Physician Assistant | 1289 Hembree Rd, Suite 200-a, Roswell, GA 30076 | 2005-10-18 |
| 1841287471 | Carrie Flury | Physician Assistant | 712 W Hobbs St, Roswell, NM 88203-3646 | 2005-09-29 |
| 1538674650 | Carla Perry-davis | Physician Assistant | 1357 Hembree Rd Ste 200, Roswell, GA 30076-5710 | 2017-12-12 |
| 1114445590 | Mark Amba Standley | Physician Assistant | 111 W Hobbs St, Roswell, NM 88203-1869 | 2017-09-06 |
| 1760833388 | Kandace Suzette Mcclellan | Physician Assistant | 300 W Country Club Rd Ste 230, Roswell, NM 88201-5240 | 2016-06-24 |
| 1801203666 | Kimberly Ann Donahue | Physician Assistant | 1825 Old Alabama Rd, Suite 201, Roswell, GA 30076-2273 | 2014-07-14 |
| 1205267432 | Norman Bowers | Physician Assistant | 303 W Country Club Rd, Roswell, NM 88201-5892 | 2013-12-13 |
| Find all providers in ROSWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.