Mr Randall Colby Nelson, AGNP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Reynolds, Georgia. He graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Privia Medical Group Of Georgia Llc and his current practice location is
57 Martin Luther King Dr, Reynolds, Georgia. You can reach out to his office (for appointments etc.) via phone at
(478) 825-3317.
Mr Randall Colby Nelson is licensed to practice in Georgia (license number RN248861) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790138782.
Provider's Profile
| Full Name | Mr Randall Colby Nelson |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 57 Martin Luther King Dr, Reynolds, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Randall Colby Nelson graduated from nursing school in 2018
NPI Data:
- NPI Number: 1790138782
- Provider Enumeration Date: 07/14/2016
- Last Update Date: 07/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 5890036370
- Enrollment ID: I20190410001250
Medical Identifiers
Medical identifiers for Mr Randall Colby Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790138782 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | RN248861 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Privia Medical Group Of Georgia Llc | 4284951542 | 411 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Randall Colby Nelson allows following entities to bill medicare on his behalf.
| Entity Name | Privia Medical Group Of Georgia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013313857
PECOS PAC ID: 4284951542
Enrollment ID: O20150325000983 |
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| Entity Name | Christopher Dennis Md Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588090229
PECOS PAC ID: 7416254990
Enrollment ID: O20190327002643 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Randall Colby Nelson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Mr Randall Colby Nelson, AGNP-C
250 Martin Luther King Jr Blvd,
Macon, GA 31201-3490
Ph: () - | Mr Randall Colby Nelson, AGNP-C
57 Martin Luther King Dr,
Reynolds, GA 31076-2946
Ph: (478) 825-3317 |
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