Active NPI
Rebekah B Randle, REGISTERED NURSE
- Psychiatric/Mental Health Nurse Practitioner
- Macon, GA
National Provider Identifier
1083552293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN-NP296527
- Practice address
- 2980 Claridge CT
Macon, GA 31204-1201 - Phone
- (478) 714-6837
- NPI assigned
- Mar 23, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN-NP296527 | GA | Primary |
Addresses
Primary practice location
2980 Claridge CT
Macon, GA 31204-1201
Mailing address
2980 Claridge CT
Macon, GA 31204-1201
Phone (478) 714-6837
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 296527 | GA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1083552293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2980 CLARIDGE CT",
"city": "MACON",
"state": "GA",
"postal_code": "312041201",
"telephone_number": "478-714-6837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2980 CLARIDGE CT",
"city": "MACON",
"state": "GA",
"postal_code": "312041201",
"telephone_number": "478-714-6837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDLE",
"first_name": "REBEKAH",
"middle_name": "B",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-23",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "APRN-NP296527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.