Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Larhonda Randolph

Individual provider Family Nurse Practitioner · NPI 1629890843

Larhonda Randolph is a Nurse Practitioner in Columbus, Georgia. Qualified in 2024, 2 years ago. Practices with Columbus Diabetes and Wound Care Center LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2024
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Practice location Address checks out

2300 Manchester Expy Ste H202
Columbus, GA 31904-6803
Phone: (706) 257-7680
Fax: (706) 257-7681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence GAA-NP002863 (GA)

Record details

NPI number1629890843
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 29, 2024
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026
Mailing address2300 Manchester Expy Ste H202, Columbus, GA 31904-6803

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Columbus Diabetes And Wound Care Center Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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