MR. RANDALL COLBY NELSON AGNP-C NPI 1790138782

NPI Information

  • NPI: 1790138782
  • Provider Name: MR. RANDALL COLBY NELSON, AGNP-C
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 57 MARTIN LUTHER KING DR
    REYNOLDS, GA
    ZIP 31076
  • Phone: (478) 825-3317

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NPI Details

MR. Randall Colby Nelson, AGNP-C is an adult health nurse practitioner in Reynolds, GA with 7 years of experience. MR. Randall Colby Nelson, AGNP-C NPI is 1790138782. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

57 MARTIN LUTHER KING DR
REYNOLDS, GA
ZIP 31076-946
Phone: (478) 825-3317
Fax: (478) 825-5499

The NPI 1790138782 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Psychiatric diagnostic evaluation with medical services (HCPCS:90792)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Automated urinalysis test (HCPCS:81003)

The enumeration date for this NPI number is 7/14/2016 and was last updated on 7/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthRN248861GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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