Randa Corley, CRNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1-155905 Issued in AL

Practice address

108 4TH Ave SW
Reform, AL 35481-8018

Phone

(205) 375-6251

Fax

(205) 375-9064

NPI assigned

Oct 19, 2022

Last updated

May 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of South Alabama College of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pickens County Primary Care, PCGroup PAC ID 1658597307, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pickens County Primary Care PC

  • Family Medicine Physician
  • Reform, AL
  • NPI 1629491451
  Medicare reassignment Care Compare group NPD
• Matthew G Freeman MD LLC

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1992954440
  Medicare reassignment NPD
• Jlbmd Consulting, PC

  • Family Medicine Physician
  • Reform, AL
  • NPI 1003449869
  Medicare reassignment
• Pickens County Primary Care, PC

  • Rural Health Clinic/Center
  • Gordo, AL
  • NPI 1295421667
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1144946245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12721 SANFORD LN",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354737212",
            "telephone_number": "205-657-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 4TH AVE SW",
            "city": "REFORM",
            "state": "AL",
            "postal_code": "354818018",
            "telephone_number": "205-375-6251",
            "fax_number": "205-375-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORLEY",
        "first_name": "RANDA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-155905",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-155905",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arbor Woods Health and Rehab LLC
• Julia Lett Boothe, M.D.
• Sheila Gail Dare, DMD
• Kendall Lewis Estes, NP
• Fenton Chiropractic LLC
• James Fenton, D.C.
• Cacyce Fowler

• Gerontology Nurse Practitioner in Reform, AL
• Providers in Reform, AL by specialty
• Gerontology Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.