Farelon Elise Randle, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

905602 Issued in MS

Practice address

500 Russell St Ste 3
Starkville, MS 39759-5411

Phone

(662) 615-3400

Fax

(662) 615-3405

NPI assigned

Mar 6, 2021

Last updated

Oct 2, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Golden Triangle Urgent Care LLCGroup PAC ID 7315197498, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Golden Triangle Urgent Care LLC

  • Rural Health Clinic/Center
  • Starkville, MS
  • NPI 1346592045

  Family

  Medicare reassignment Care Compare group NPD
• North Mississippi Medical Clinics Inc

  • Internal Medicine Physician
  • Tupelo, MS
  • NPI 1053469486

  Family

  Medicare reassignment NPD
• Golden Triangle Urgent Care LLC

  • Rural Health Clinic/Center
  • West Point, MS
  • NPI 1104559806

  Family

  NPD
• North Mississippi Medical Clinics Inc

  dba The Women's Group West Point

  • Obstetrics & Gynecology Physician
  • West Point, MS
  • NPI 1588769970
  NPD

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

{
    "created_epoch": "1614988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1730774290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202177",
            "telephone_number": "901-226-4003",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RUSSELL ST STE 3",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397595411",
            "telephone_number": "662-615-3400",
            "fax_number": "662-615-3405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Highway 12 W Ste 10",
            "address_purpose": "LOCATION",
            "city": "Starkville",
            "state": "MS",
            "postal_code": "397590248",
            "country_code": "US",
            "telephone_number": "999-999-9999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Russell St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Starkville",
            "state": "MS",
            "postal_code": "397595411",
            "country_code": "US",
            "telephone_number": "662-324-2244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Brandon Rd",
            "address_purpose": "LOCATION",
            "city": "Starkville",
            "state": "MS",
            "postal_code": "397592521",
            "country_code": "US",
            "telephone_number": "662-615-3771",
            "fax_number": "662-615-3775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDLE",
        "first_name": "FARELON",
        "middle_name": "ELISE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-06",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R. Allen Butler, M.D., PA
• Radiation Oncology of North Ms PLLC (Cancer Care Center of Starkville)
• Haylie Radtke
• Erin Nicole Raftery
• Kenneth Lawrence Ramsey
• Haylee T Randle
• Mary Rawson
• RCG Mississippi, Inc. (RCG Starkville)
• Melissa Louise Reed, OTR/L
• Shelby Reeves, FNP-C

• Family Nurse Practitioner in Starkville, MS
• Providers in Starkville, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.