NPIMap

Individual provider Active NPI

Randall T Huling, MD

  • Family Medicine Physician
  • Olive Branch, MS
National Provider Identifier
1316936917
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
09846 Issued in MS
Practice address
9075 Sandidge Center CV
Olive Branch, MS 38654-3514
Phone
(662) 895-4949
Fax
(662) 895-6776
NPI assigned
Oct 17, 2005
Last updated
Dec 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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 09846 MS Primary

Addresses

Primary practice location

9075 Sandidge Center CV
Olive Branch, MS 38654-3514

Mailing address

9075 Sandidge Center CV
Olive Branch, MS 38654-3514
Phone (662) 895-4949

Other identifiers 1

IdentifierTypeStateIssuer
510455609OtherMSTADID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rhuling@direct.obfmc.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080604000056 MS Practitioner - Family Practice 0345139770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Olive Branch Family Medical CenterGroup PAC ID 2567351984, 7 clinicians

Practice addresses (Care Compare)

9075 Sandidge Ctr CV
Olive Branch, MS 38654-3514
Phone (662) 895-4949

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Parkwood Inc CurrentSince Sep 1, 2010 Accepting new patients
Arden of North Mississippi, LLC Family Medicine CurrentSince Jun 18, 2023 Accepting new patients
Olive Branch Family Medical Center Family Medicine CurrentSince Aug 4, 2003 Accepting new patients
Uhs of Parkwood Inc CurrentSince Sep 1, 2010 Accepting new patients

Locations

8135 Goodman Rd
Olive Branch, MS 38654
Phone (662) 893-7102

9035 E Sandidge Rd
Ste 102
Olive Branch, MS 38654
Phone (662) 893-5662

9075 Sandidge Center Cv
Olive Branch, MS 38654
Phone (662) 895-4949

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rhuling@direct.obfmc.nextgenshare.com
  • Direct secure messaging: rhuling32182@mlh.direct-ci.com

Organizations & group practices 4

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 8

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1316936917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9075 SANDIDGE CENTER CV",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386543514",
            "telephone_number": "662-895-4949",
            "fax_number": "662-895-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9075 SANDIDGE CENTER CV",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386543514",
            "telephone_number": "662-895-4949",
            "fax_number": "662-895-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULING",
        "first_name": "RANDALL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "09846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TADID",
            "identifier": "510455609",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rhuling@direct.obfmc.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9075 Sandidge Center Cv",
            "city": "Olive Branch",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386543514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

Verify at the official NPI Registry.