Individual provider Active NPI

Melanie Hatcher Randle, M.S., CCC-A

  • Audiologist
  • Oxford, MS
National Provider Identifier
1467658138
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A2843 Issued in MS
Practice address
497 Azalea Dr
Oxford, MS 38655-7905
Phone
(662) 234-1337
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A2843 MS Primary

Addresses

Primary practice location

497 Azalea Dr
Oxford, MS 38655-7905

Mailing address

59 CR 202
Oxford, MS 38655
Phone (662) 801-7796

Other practice location 1

100 George Hall
Rebel Dr
University, MS 38677
Phone (662) 915-7271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141203000592 MS Practitioner - Qualified Audiologist 1951623909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Vanderbilt University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Consultants of North Mississippi PLLCGroup PAC ID 8426136961, 10 clinicians

Practice addresses (Care Compare)

497 Azalea Dr
Suite 101
Oxford, MS 38655-7901

497 Azalea Dr
Suite 101
Oxford, MS 38655-7907
Phone (662) 234-1337

499 Azalea Dr
Oxford, MS 38655-7901
Phone (662) 234-7979

Merit-based Incentive Payment System (MIPS)

Final score
89.98 of 100Reported as group
Quality
100
Improvement activities
40
Cost
66.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
A2843MSMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose & Throat Consultants of North Mississippi PLLC CurrentSince Oct 1, 2014 Accepting new patients
Oxford University Eyecare PLLC CurrentSince Jun 1, 2015 Accepting new patients

Locations

497 Azalea Dr
Ste 101
Oxford, MS 38655
Phone (662) 234-1337

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1467658138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 CR 202",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "38655",
            "telephone_number": "662-801-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 AZALEA DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386557905",
            "telephone_number": "662-234-1337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 George Hall",
            "address_2": "Rebel Dr",
            "address_purpose": "LOCATION",
            "city": "University",
            "state": "MS",
            "postal_code": "38677",
            "country_code": "US",
            "telephone_number": "662-915-7271",
            "fax_number": "662-915-7263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDLE",
        "first_name": "MELANIE",
        "middle_name": "HATCHER",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2021-02-05",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MS",
            "license": "A2843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.