MS. MIA DAWN RANDLE FNP-C
NPI 1982109526
Nurse Practitioner - Family in Columbus, MS

Active since March 27, 2018PECOS EnrolledAccepts Medicare Assignment
34 GLENWOOD DR, COLUMBUS, MS 39705(662) 307-7099 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 5, 2025, Mar 27, 2018 (2 updates tracked since 2018).

About Ms. Mia Dawn Randle Fnp-c NPPES

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

MS. MIA DAWN RANDLE FNP-C (NPI 1982109526) is an individual family provider in Columbus, Mississippi, licensed in Mississippi (907911) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1982109526
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. MIA DAWN RANDLECredential: FNP-C
Location Address34 GLENWOOD DRColumbus, MS 39705-1596
Mailing Address203 Jim Allen Blake RdCedarbluff, MS 39741-7048 · (662) 307-7099
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 27, 2018
Last NPPES UpdateNovember 5, 20252 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
NPI 1982109526 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 MS · 907911
34 GLENWOOD DR, Columbus, MS 39705

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Mia Dawn Randle Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658847942
PECOS Enrollment IDI20260415000672
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 39705 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Nurse Practitioner (Family)
34 GLENWOOD DR
COLUMBUS, MS 39705

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 Mia Randle's NPI number?

The NPI number for Mia Randle is 1982109526. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Mia Randle located?

Mia Randle practices at 34 Glenwood Dr, Columbus, MS 39705. The listed phone number is (662) 307-7099.

What is Mia Randle's specialty?

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

Is Mia Randle enrolled in Medicare?

Yes. Mia Randle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mia Randle was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.