MS. MIA DAWN RANDLE FNP-C
NPI 1982109526
Nurse Practitioner - Family in Columbus, MS
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Mia Randle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Columbus, MS 39702
- Reassigned Medicare billing, Mississippi enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Mia Randle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mia Randle reassigns Medicare benefits to Omnis Salus, PLLC (Columbus, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mia Randle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 11 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.
# Ms. Mia Dawn Randle, FNP-C · NPI 1982109526
Family physician in Columbus, Mississippi. Individual provider, active in the CMS NPPES registry since March 27, 2018.
## Identity
- **NPI:** 1982109526 (Entity type: Individual)
- **Enumerated:** March 27, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 907911 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 34 GLENWOOD DR, Columbus, MS 39705-1596
- **Phone:** (662) 307-7099
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Omnis Salus, PLLC (NPI 1497141337, Columbus, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** November 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1982109526) · Data from the CMS NPPES public registry.