Active NPI
Randall James Dotts, PA-C
- Medical Physician Assistant
- Altamonte Springs, FL
National Provider Identifier
1255367645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA 1823
- Practice address
- 679 Douglas Ave
Altamonte Springs, FL 32714-2555 - Phone
- (407) 774-4911
- NPI assigned
- Jun 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 1823 | FL | Primary |
Addresses
Primary practice location
679 Douglas Ave
Altamonte Springs, FL 32714-2555
Mailing address
1641 Pinewood Dr
Orlando, FL 32804-3437
Phone (407) 293-5706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 1823 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles H Moorefield III MD PA | Past | Accepting new patients |
Interoperability endpoints
- randall.dotts.p1@direct.bondclinicpa.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Orlando, FL
- NPI 1740402999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1255367645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1641 PINEWOOD DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328043437",
"telephone_number": "407-293-5706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "679 DOUGLAS AVE",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327142555",
"telephone_number": "407-774-4911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOTTS",
"first_name": "RANDALL",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA 1823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.