Randall Humphreys


Address: 2401 Saint Andrews Blvd, Panama City, FL 32405-2170

Randall Humphreys (NPI# 1558336503, PAC ID# 0749313377) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.

Physician Overview

Nation Provider ID (NPI) 1558336503
PAC ID by PECOS 0749313377
Professional Enrollment ID I20100803001332
Full Name Randall Humphreys
Address 2401 Saint Andrews Blvd
Panama City
FL 32405-2170
Gender M
Medical School UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year 1986
Primary Specialty ALLERGY/IMMUNOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100242 GULF COAST REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
2401 Saint Andrews Blvd, Panama City, FL 32405-2170

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 11%

Organization Information

Office Location

Street Address 2401 SAINT ANDREWS BLVD
City PANAMA CITY
State FL
Zip 32405-2170

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Name Specialty Organization Address
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Hakan Recep Toka Nephrology Manatee Kidney Diseases Consultants 3701 Manatee Ave W, Bradenton, FL 32405-1711
Jennifer C Bala Nephrology Manatee Kidney Diseases Consultants 3701 Manatee Ave W, Bradenton, FL 32405-1711
Ramin Tolouian Nephrology Manatee Kidney Diseases Consultants 3701 Manatee Ave W, Bradenton, FL 32405-1711
Sherry Lee Brown Chiropractic 2410 Saint Andrews Blvd A, Panama City, FL 32405-2135
Dinesh K Bhatt Cardiovascular Disease (cardiology) Nkbh LLC 2232 W 24th St, Panama City, FL 32405-2226
Nayan Kumar Bhatt Cardiovascular Disease (cardiology) Nkbh LLC 2232 W 24th St, Panama City, FL 32405-2226
Daniel Eugene Feitz Podiatry 2424 Frankford Ave, Panama City, FL 32405-2239
Robert Stiegler Podiatry Feitz Foot Clinic 2424 Frankford Ave, Panama City, FL 32405-2239
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Competitor

Search similar physicians

City PANAMA CITY
Zip Code 32405
Specialty ALLERGY/IMMUNOLOGY
City + Specialty PANAMA CITY + ALLERGY/IMMUNOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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