Beverly Jan Randle, F.N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R652962 Issued in MS

Practice address

14724 Highway 15 N
Louisville, MS 39339-6318

Phone

(662) 773-7500

NPI assigned

May 15, 2006

Last updated

Jul 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Choctaw Regional Medical CenterGroup PAC ID 2567682206, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Home Health of Carthage Home health agency, Carthage, MS, CCN 257129
• Choctaw Regional Medical Center Hospital, Ackerman, MS, CCN 251334
• Winston Medical Center Hospital, Louisville, MS, CCN 250027

Merit-based Incentive Payment System (MIPS)

Final score

81.39 of 100Reported as group

Quality

65.98

Improvement activities

40

Cost

74.48

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/chocrmc-b09bb3d6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Choctaw Regional Medical Center

  dba Choctaw Medical Clinic of Ackerman

  • Family Medicine Physician
  • Ackerman, MS
  • NPI 1235547878
  Medicare reassignment Care Compare group NPD
• Choctaw Regional Medical Center

  • Critical Access Hospital
  • Ackerman, MS
  • NPI 1568879864
  Medicare reassignment
• Choctaw Regional Medical Center

  dba Choctaw Medical Clinic

  • Rural Health Clinic/Center
  • Ackerman, MS
  • NPI 1003223306
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Choctaw Regional Medical Center

  • Critical Access Hospital
  • Ackerman, MS
  • NPI 1568879864
  Care Compare affiliation
• Sta-Home Health Agency of Carthage, Inc

  dba AccentCare Home Health of Carthage

  • Home Health Agency
  • Carthage, MS
  • NPI 1275674533
  Care Compare affiliation
• Winston County Medical Foundation

  dba Winston Medical Center

  • General Acute Care Hospital
  • Louisville, MS
  • NPI 1073597126
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1184675134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8613 MS HIGHWAY 12",
            "city": "ACKERMAN",
            "state": "MS",
            "postal_code": "397358917",
            "telephone_number": "662-285-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14724 HIGHWAY 15 N",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393396318",
            "telephone_number": "662-773-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDLE",
        "first_name": "BEVERLY",
        "middle_name": "JAN",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R652962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000118926",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118926",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth E Peres, MD
• Emily Davis Perkins, F.N.P.
• James Glenn Peters, MD
• Michelle J Plante, LPC, CCAP, NCC
• Leda S Porter, MS
• Valerie L Ray, MS
• RCG Mississippi, Inc. (RCG Louisville)
• Red Hills Ortho, LLC
• Region Seven Mental Health Idd Commission (Community Counseling Services)
• Thomas Edwin Rester, RPH

• Nurse Practitioner in Louisville, MS
• Providers in Louisville, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.