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

Mr. Randall Colby Nelson, AGNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1790138782

Mr. Randall Colby Nelson, AGNP-C is a Nurse Practitioner in Reynolds, Georgia. Qualified in 2018, 8 years ago. Practices with Privia Medical Group of Georgia LLC, a 450-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2016

Practice location Address checks out

57 Martin Luther King Dr
Reynolds, GA 31076-2946
Phone: (478) 825-3317
Fax: (478) 825-5499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence RN248861 (GA)

Record details

NPI number1790138782
Entity typeIndividual (Type 1)
GenderMale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedJuly 14, 2016
Last updated in NPPESJuly 3, 2024
Certification dateJuly 3, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Privia Medical Group Of Georgia Llc — 450 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare