Randall L. Nance, D.O.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

10479 Issued in MS

Practice address

120-Hwy 6 W
Batesville, MS 38606

Phone

(662) 360-1789

Fax

(662) 360-1791

NPI assigned

Jan 19, 2006

Last updated

Nov 20, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Randy Lynn Nance Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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.

• Laird Hospital, Inc.

  dba Ochsner Laird Hospital

  • Critical Access Hospital
  • Union, MS
  • NPI 1518924752
  NPD (past)
• Neshoba County General Hospital

  dba Neshoba County General Hospital Radiology Pro Fees

  • Diagnostic Radiology Physician
  • Philadelphia, MS
  • NPI 1013382308

  Single Specialty

  NPD (past)
• Neshoba Physician Billing Service

  • Multi-Specialty Clinic/Center
  • Philadelphia, MS
  • NPI 1841404985

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1629058375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GREENBRIAR LOOP",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386552760",
            "telephone_number": "601-513-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120-HWY 6 W",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "38606",
            "telephone_number": "662-360-1789",
            "fax_number": "662-360-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANCE",
        "first_name": "RANDALL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "10479",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MS",
            "license": "10479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00116402",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDY",
            "last_name": "NANCE",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Natalie Herrington Moore, CFNP
• Timothy Moore
• Crystie Sheree Moorman, PHARMD
• Lukeither Denise Morgan, PCCSS
• Mary J Morrow
• Vynshay Nance
• Margaret Hardy Nations, COTA
• William Thomas Neely III, DMD
• Susan P Neese, RPH
• North Delta Physical Therapy, Inc.

• Addiction Medicine (Family Medicine) Physician in Batesville, MS
• Providers in Batesville, MS by specialty
• Addiction Medicine (Family Medicine) Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.