Active NPI
Rhonda Randall, CNP
- Primary Care Nurse Practitioner
- Austell, GA
National Provider Identifier
1124204235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 088363 RN
- Practice address
- 1810 Mulkey Rd Ste 200
Austell, GA 30106-1150 - Phone
- (770) 944-0811
- Fax
- (770) 944-0829
- NPI assigned
- Jan 18, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 088363 RN | GA | Primary |
Addresses
Primary practice location
1810 Mulkey Rd Ste 200
Austell, GA 30106-1150
Mailing address
1810 Mulkey Rd Ste 200
Austell, GA 30106-1150
Phone (770) 944-0811
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James a. Sexson, M.D. LLC | Past | Accepting new patients | |
| Ravens Nest Foundation Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Austell, GA
- NPI 1225169071
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Austell, GA
- NPI 1578867982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200614400000",
"number": "1124204235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 MULKEY RD STE 200",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061150",
"telephone_number": "770-944-0811",
"fax_number": "770-944-0829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 MULKEY RD STE 200",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061150",
"telephone_number": "770-944-0811",
"fax_number": "770-944-0829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDALL",
"first_name": "RHONDA",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-18",
"last_updated": "2008-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "GA",
"license": "088363 RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.