Individual provider Active NPI

Sara Elizabeth Randall-Macdonnell, AAPRN

  • Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1225293764
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9203482 Issued in FL
Practice address
4838 Kerry Forest Pkwy
Tallahassee, FL 32309-2272
Phone
(850) 262-8500
Fax
(850) 409-9002
NPI assigned
Jul 24, 2008
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9203482 FL Primary

Addresses

Primary practice location

4838 Kerry Forest Pkwy
Tallahassee, FL 32309-2272

Mailing address

4838 Kerry Forest Pkwy
Tallahassee, FL 32309-2272
Phone (850) 262-8500

Other names 1

  • Sara Elizabeth Randall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111130000760 FL Practitioner - Nurse Practitioner 4789858705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Medical ClinicGroup PAC ID 9436116522, 2 clinicians

Practice addresses (Care Compare)

6265 Old Water Oak Rd
Suite 105
Tallahassee, FL 32312-3862
Phone (850) 584-3278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Clinic CurrentSince Jan 21, 2026 Accepting new patients
Old Fields Emergency Physicians, LLC Past Accepting new patients
Southland EMS at Madison, PLLC Past Accepting new patients
Premier Health and Wellness Tallahassee, LLC Past Accepting new patients

Locations

315 E Ash St
Perry, FL 32347
Phone (850) 584-3278

6265 Old Water Oak Rd
Unit 105
Tallahassee, FL 32312
Phone (850) 270-9070

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23008/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sara.randall-macdonnell.1@23008.direct.athenahealth.com
  • Direct secure messaging: sara.randallmacdonnell@hca5.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1225293764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4838 KERRY FOREST PKWY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323092272",
            "telephone_number": "850-262-8500",
            "fax_number": "850-409-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4838 KERRY FOREST PKWY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323092272",
            "telephone_number": "850-262-8500",
            "fax_number": "850-409-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL-MACDONNELL",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "AAPRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9203482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "RANDALL",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.