COURTNEY RANDALL (NPI# 1265041362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265041362 |
| Entity Type | Individual |
| Full Name | COURTNEY RANDALL |
| Credential | NP |
| Practice Address |
5398 Thomaston Rd Macon GA 31220-8110 |
| Mailing Address |
509 N Houston Rd Warner Robins GA 31093-8844 |
| Practice Telephone | 4787438316 |
| Practice Fax Number | 4787431824 |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 215483 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5398 THOMASTON RD |
| City | MACON |
| State | GA |
| Zip Code | 31220-8110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174679062 | Stacey Smoot Owen | Psychologist | 5398 Thomaston Rd, Suite B, Macon, GA 31220-8110 | 2007-01-25 |
| 1255720587 | Crystal Underwood Walker | Dietitian, Registered | 5398 Thomaston Rd, Macon, GA 31220-8110 | 2015-01-09 |
| 1629202841 | Nazrul Islam | Internal Medicine | 5398 Thomaston Rd, Macon, GA 31220-8110 | 2009-05-04 |
| 1093956781 | Robin Rohn Witt | Dietitian, Registered | 5398 Thomaston Rd, Suite B, Macon, GA 31220-8110 | 2009-03-10 |
| 1013152362 | Jennifer Dawn Mccullough | Psychiatry & Neurology | 5398 Thomaston Rd, Macon, GA 31220-8110 | 2008-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174864979 | Kenwana Michelle Vanderbilt | Psychologist | Macon Outpatient Clinic- 5398 Thomaston Rd., Suite B, Macon, GA 31220 | 2013-03-05 |
| 1720287345 | Lynda Jean Logan | Registered Nurse | 5398 Thomaston Road Suite B, Macon, GA 31220 | 2007-07-13 |
| 1811085434 | Timmi Hagan | Dentist | 4196 Cavalier Dr, Macon, GA 31220 | 2006-10-10 |
| 1154375756 | Lois Jane Macdonnell | Psychiatry & Neurology | 5566 Thomaston Rd, Macon, GA 31220 | 2006-05-19 |
| 1508129438 | Venyette Thomas | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220 | 2012-06-15 |
| 1710260575 | Vijay H Patel | Pharmacist | 1280 Gray Hwy, Macon, GA 31220 | 2011-09-27 |
| 1023065638 | Dublin Vamc | Clinic/Center | 5566 Thomaston Rd, Macon, GA 31220 | 2006-05-28 |
| 1386847614 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2007-06-06 |
| 1588128581 | Samuel Scott Collier | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2019-01-24 |
| 1841652310 | Christopher Hayes | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2016-03-24 |
| Find all providers in zip 31220 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604158 | Tekeria Gallemore | Nurse Practitioner | 204 Rockingham Pl, Macon, GA 31217-2615 | 2020-09-22 |
| 1710534839 | Tuwanna Yvette Brooks | Nurse Practitioner | 2685 Cherokee Ave, Macon, GA 31204-3940 | 2019-08-22 |
| 1568019206 | Candace W Webb | Nurse Practitioner | 770 Pine St Ste 310, Macon, GA 31201-7587 | 2019-08-19 |
| 1013579846 | Rachel Michelle Applegate | Nurse Practitioner | 657 Hemlock St Ste 200, Macon, GA 31201-8324 | 2019-07-02 |
| 1447813993 | Amelia Angelica Harpe Mills | Nurse Practitioner | 3300 N Ingle Pl Apt 6e, Macon, GA 31210-2529 | 2019-04-19 |
| 1922563287 | Vanessa Lott | Nurse Practitioner | 107 William Way, Macon, GA 31216-6160 | 2019-01-31 |
| 1649771155 | Tory Kirsten Etheridge | Nurse Practitioner | 688 Walnut St Ste 200, Macon, GA 31201-0333 | 2018-02-21 |
| 1003324112 | Jared L Jarrett Np, LLC | Nurse Practitioner | 770 Pine St Ste 560, Macon, GA 31201-7569 | 2018-01-11 |
| 1699281360 | Charneika C Brown | Nurse Practitioner | 639 Hemlock St Ste 100, Macon, GA 31201-6889 | 2017-12-18 |
| 1821512393 | Bridgette Rebecca Harrison | Nurse Practitioner | 193 John Michael Drive, Macon, GA 31211 | 2017-07-27 |
| Find all providers in MACON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.