Active NPI
Randall Eugene Little, M.D.
- Cardiovascular Disease Physician
- Sheffield, AL
National Provider Identifier
1205807385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 10197
- Practice address
- 1120 S Jackson Hwy
Suite 204
Sheffield, AL 35660-5777 - Phone
- (256) 381-8811
- Fax
- (256) 381-5151
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 10197 | AL | Primary |
Addresses
Primary practice location
1120 S Jackson Hwy
Suite 204
Sheffield, AL 35660-5777
Mailing address
930 Franklin St SE
Huntsville, AL 35801-4312
Phone (256) 539-4080
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009954985 | Medicaid | AL | |
| 4088303 | Other | TN | BCBS |
| 510-49307 | Other | AL | BCBS |
| P00140874 | Other | RAILROAD MEDICARE | |
| P00744568 | Other | AL | RAILROAD MEDICARE |
| 515-21837 | Other | AL | BCBS |
| 112762 | Medicaid | AL | |
| 25-10137 | Other | UNITED HEALTHCARE | |
| 112766 | Medicaid | AL | |
| 112768 | Medicaid | AL | |
| 4306519 | Other | AETNA | |
| 510-49318 | Other | AL | BCBS |
| 510-49462 | Other | AL | BCBS |
| 07776571 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10197 | AL | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254268800000",
"number": "1205807385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 FRANKLIN ST SE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014312",
"telephone_number": "256-539-4080",
"fax_number": "256-539-4099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 S JACKSON HWY",
"address_2": "SUITE 204",
"city": "SHEFFIELD",
"state": "AL",
"postal_code": "356605777",
"telephone_number": "256-381-8811",
"fax_number": "256-381-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLE",
"first_name": "RANDALL",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2009-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AL",
"license": "10197",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009954985",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4088303",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "510-49307",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00140874",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00744568",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "515-21837",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112762",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "25-10137",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112766",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112768",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4306519",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "510-49318",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "510-49462",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07776571",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sheffield, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.