Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Maryjane N Randels, FNP-ENP

Individual provider Family Nurse Practitioner · NPI 1417689050

Maryjane N Randels, FNP-ENP is a Nurse Practitioner in Bogart, Georgia. Graduated from University of South Alabama College of Medicine in 2021, 5 years ago. Practices with Wellstreet of Georgia PC, a 431-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Trained at
University of South Alabama College of Medicine
Licensed in
GA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1561 Lenru Rd Ste A
Bogart, GA 30622
Phone: (850) 445-4832
Fax: (706) 549-3138
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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 GAANP000734 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence GAA-NP000734 (GA)

Record details

NPI number1417689050
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-ENP
Sole proprietorNo
NPI enumeratedJune 30, 2022
Last updated in NPPESOctober 14, 2022
Certification dateOctober 14, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Wellstreet Of Georgia Pc — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Bogart