Individual provider Active NPI

Michael Randolph Havens, M.D.

  • Family Medicine Physician
  • Batesville, MS
National Provider Identifier
1316928955
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11732 Issued in MS
Practice address
255 Medical Center Dr
Batesville, MS 38606-8629
Phone
(662) 563-6000
Fax
(662) 563-0700
NPI assigned
Nov 10, 2005
Last updated
May 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11732 MS Primary

Addresses

Primary practice location

255 Medical Center Dr
Batesville, MS 38606-8629

Mailing address

PO Box 395
Batesville, MS 38606-0395
Phone (662) 563-6000

Other practice location 1

107 Eureka St
Batesville, MS 38606-2533
Phone (662) 563-6000

Other practice location 2

303 Medical Center Dr
Batesville, MS 38606-8608
Phone (662) 578-4357

Other identifiers 1

IdentifierTypeStateIssuer
00115542MedicaidMS

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070627000174 MS Practitioner - Family Practice 6103925441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Batesville Medical Clinic LLCGroup PAC ID 6305176132, 4 clinicians

Practice addresses (Care Compare)

107 Eureka St
Suite a
Batesville, MS 38606-2533
Phone (662) 563-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Batesville Medical Clinic, LLC Family Medicine CurrentSince Aug 1, 2019 Accepting new patients

Locations

107 Eureka St
Batesville, MS 38606
Phone (662) 563-6000

107 Eureka St
#A
Batesville, MS 38606
Phone (662) 561-0800

255 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-2163

255 Medical Center Dr
#B
Batesville, MS 38606
Phone (662) 563-2163

255 Medical Center Dr
Ste A
Batesville, MS 38606
Phone (662) 234-9888

Interoperability endpoints

  • Direct secure messaging: havens_michael_md@yourcarecommunity.org

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1316928955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 395",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386060395",
            "telephone_number": "662-563-6000",
            "fax_number": "662-563-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 MEDICAL CENTER DR",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386068629",
            "telephone_number": "662-563-6000",
            "fax_number": "662-563-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Eureka St",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "MS",
            "postal_code": "386062533",
            "country_code": "US",
            "telephone_number": "662-563-6000",
            "fax_number": "662-563-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "MS",
            "postal_code": "386068608",
            "country_code": "US",
            "telephone_number": "662-578-4357",
            "fax_number": "662-578-4350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAVENS",
        "first_name": "MICHAEL",
        "middle_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "11732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115542",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, MS

Sources for this page

Verify at the official NPI Registry.