Individual provider Active NPI

Courtney Randall, APRN

  • Acute Care Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1265041362
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN215483 Issued in GA
Practice address
SC House Calls Inc
111 Doctors Cir
Columbia, SC 29203
Phone
(478) 633-5660
NPI assigned
Jul 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN215483 GA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN215483 GA

Addresses

Primary practice location

SC House Calls Inc
111 Doctors Cir
Columbia, SC 29203

Mailing address

SC House Calls Inc
111 Doctors Cir
Columbia, SC 29203
Phone (478) 633-5660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20201106000999 GA Practitioner - Nurse Practitioner 3971913781 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Primary Care of Georgia LLCGroup PAC ID 0648421065, 20 clinicians
SC House Calls IncGroup PAC ID 6800994807, 445 clinicians

Practice addresses (Care Compare)

1005 Boulder Dr
Gray, GA 31032-6141
Phone (478) 621-2100

624 Ellis St
Augusta, GA 30901-1434
Phone (800) 491-0909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
215483GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Primary Care of Georgia LLC CurrentSince Oct 20, 2025 Accepting new patients
SC House Calls Inc CurrentSince Mar 2, 2026 Accepting new patients
SC House Calls Inc CurrentSince Mar 2, 2026 Accepting new patients
The Medical Center of Central Georgia Inc. Current Accepting new patients
Aim Healthcare Providers Ga, PC CurrentSince Jan 5, 2026 Accepting new patients
The Medical Center of Central Georgia Inc CurrentSince Aug 1, 2021 Accepting new patients
Community Primary Care of Georgia LLC Past Accepting new patients
Total Renal Care Inc PastSince Aug 1, 2020 Accepting new patients
Aim Healthcare Providers Ga, PC PastSince Jan 5, 2026 Accepting new patients
Total Renal Care Inc PastSince Aug 1, 2020 Accepting new patients

Locations

161 E Rivulon Blvd
Ste 210
Gilbert, AZ 85297
Phone (480) 244-1724

1230 Peachtree St NE
Ste 550
Atlanta, GA 30309

1005 Boulder Dr
Gray, GA 31032
Phone (478) 621-2072

3400 Riverside Dr
Macon, GA 31210
Phone (478) 474-5600

6261 Peake Rd
Macon, GA 31210
Phone (457) 633-5660

111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787961600000",
    "number": "1265041362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SC HOUSE CALLS INC",
            "address_2": "111 DOCTORS CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "478-633-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SC HOUSE CALLS INC",
            "address_2": "111 DOCTORS CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "478-633-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "COURTNEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN215483",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN215483",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.