Individual provider Active NPI

Randall Hearne, ARNP

  • Adult Health Nurse Practitioner
  • Perry, FL
National Provider Identifier
1831184910
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2961562 Issued in FL
Practice address
315 E Ash St
Perry, FL 32347-2029
Phone
(850) 584-3278
Fax
(850) 584-8171
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2961562 FL Primary

Addresses

Primary practice location

315 E Ash St
Perry, FL 32347-2029

Mailing address

315 E Ash St
Perry, FL 32347-2029
Phone (850) 584-3278

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20050620000576 FL Practitioner - Nurse Practitioner 4688618762 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2961562FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Clinic CurrentSince Oct 17, 2025 Accepting new patients
Perry Emergency Physicians LLC Past Accepting new patients
North Florida Emergency Physicians Past Accepting new patients
Ipn Emergency Physicians of North Florida PA Past Accepting new patients
Southland EMS at Madison, PLLC Past Accepting new patients

Locations

315 E Ash St
Perry, FL 32347
Phone (850) 584-3278

333 N Byron Butler Pkwy
Perry, FL 32347
Phone (850) 584-0643

6265 Old Water Oak Rd
Unit 105
Tallahassee, FL 32312
Phone (850) 270-9070

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23008/brand/1/csg/1/fhir/r4
  • Direct secure messaging: randy.hearne.1@23008.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1831184910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E ASH ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323472029",
            "telephone_number": "850-584-3278",
            "fax_number": "850-584-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E ASH ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323472029",
            "telephone_number": "850-584-3278",
            "fax_number": "850-584-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARNE",
        "first_name": "RANDALL",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "2961562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, FL

Sources for this page

Verify at the official NPI Registry.