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VICTORIA RANDLE FNP-C
NPI 1083083810
Nurse Practitioner - Family in Austell, GA

Active since September 22, 2015PECOS Enrolled
6130 HOTEL ST, AUSTELL, GA 30106(770) 726-3577(770) 522-6228 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2025, May 14, 2024, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Victoria Randle Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTORIA RANDLE FNP-C (NPI 1083083810) is an individual family provider in Austell, Georgia, licensed in Georgia (RN199251) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083083810
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVICTORIA RANDLECredential: FNP-C
Location Address6130 HOTEL STAustell, GA 30106-4623
Mailing Address5284 Floyd Rd Sw Unit 842Mableton, GA 30126-6106 · (770) 726-3577 · Fax (770) 522-6228
Phone(770) 726-3577
Fax(770) 522-6228
Sole ProprietorNo
Enumeration DateSeptember 22, 2015
Last NPPES UpdateJune 26, 20254 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1083083810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN199251
6130 HOTEL ST, Austell, GA 30106
Open in Google Maps ↗

Other Identifiers 1

Medicaid003167991KGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victoria Randle Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

H.E.R.O. INSTITUTE LLC
Clinic/Center
6130 HOTEL ST
AUSTELL, GA 30106
Cobb County (770) 726-3577

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victoria Randle's NPI number?

The NPI number for Victoria Randle is 1083083810. It was assigned to this individual provider in the NPPES registry on September 22, 2015.

Where is Victoria Randle located?

Victoria Randle practices at 6130 Hotel St, Austell, GA 30106. The listed phone number is (770) 726-3577.

What is Victoria Randle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Victoria Randle enrolled in Medicare?

Yes. Victoria Randle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Victoria Randle was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.