Victoria Randle, FNP-C | |
6130 Hotel St, Austell, GA 30106-4623 | |
(770) 726-3577 | |
(770) 522-6228 |
Full Name | Victoria Randle |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 6130 Hotel St, Austell, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083083810 | NPI | - | NPPES |
003167991K | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN199251 (Georgia) | Primary |
Entity Name | Matter Health Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770230997 PECOS PAC ID: 2668847443 Enrollment ID: O20230410000487 |
Entity Name | Hero Institute Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316643315 PECOS PAC ID: 0042677296 Enrollment ID: O20230605000779 |
Mailing Address | Practice Location Address |
---|---|
Victoria Randle, FNP-C 5284 Floyd Rd Sw Unit 842, Mableton, GA 30126-6106 Ph: (770) 726-3577 | Victoria Randle, FNP-C 6130 Hotel St, Austell, GA 30106-4623 Ph: (770) 726-3577 |
Mrs. Kelsey Irene Fortier, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1605 Mulkey Rd, Suite 220, Austell, GA 30106 Phone: 470-956-3760 | |
Manuel Piri, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1676 Mulkey Rd, Suite A, Austell, GA 30106 Phone: 678-838-6600 Fax: 678-838-6602 | |
Ms. Kristin L Faine, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 E West Connector, Austell, GA 30106 Phone: 770-438-1680 | |
Shawn Michael Kade, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1810 Mulkey Rd Ste 202, Austell, GA 30106 Phone: 770-694-6349 | |
Takiyah Johnson Turks, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1625 Hospital North Dr Ste 150, Austell, GA 30106 Phone: 470-732-6950 Fax: 770-739-0138 | |
Elizabeth Bilfinger Hill, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3825 Medical Park Dr Ste 100, Austell, GA 30106 Phone: 770-948-5578 | |
Mrs. Emily Jane Tackett, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 470-732-5201 Fax: 470-792-5209 |