| Mr Randall Colby Nelson, AGNP-C | |
|
57 Martin Luther King Dr, Reynolds, GA 31076-2946 | |
| (478) 825-3317 | |
| (478) 825-5499 |
| Full Name | Mr Randall Colby Nelson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 57 Martin Luther King Dr, Reynolds, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790138782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | RN248861 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Of Georgia Llc | 4284951542 | 455 |
| Entity Name | Privia Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Entity Name | Christopher Dennis Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588090229 PECOS PAC ID: 7416254990 Enrollment ID: O20190327002643 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |
Jennifer Alison Broussard, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 Goose Hollow Rd, Reynolds, GA 31076 Phone: 478-216-1110 | |
Brandi Dawn Rodriguez, NP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2319 Roberta Hwy, Reynolds, GA 31076 Phone: 478-737-4085 | |
Laspanya Hunter, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 211 Goose Hollow Rd, Reynolds, GA 31076 Phone: 706-620-3124 |