| Ms Mia Dawn Randle, FNP-C | |
|
34 Glenwood Dr, Columbus, MS 39705-1596 | |
| (662) 307-7099 | |
| Not Available |
| Full Name | Ms Mia Dawn Randle |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 34 Glenwood Dr, Columbus, Mississippi |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982109526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 907911 (Mississippi) | Primary |
| Entity Name | Omnis Salus PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497141337 PECOS PAC ID: 1052720851 Enrollment ID: O20210507000484 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Mia Dawn Randle, FNP-C 203 Jim Allen Blake Rd, Cedarbluff, MS 39741-7048 Ph: (662) 307-7099 | Ms Mia Dawn Randle, FNP-C 34 Glenwood Dr, Columbus, MS 39705-1596 Ph: (662) 307-7099 |
Mrs. Celia Lasky Kidder, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2110 5th St N, Columbus, MS 39705 Phone: 662-243-2435 Fax: 662-328-7037 |
Dr. Janice Davidson, PHD FNP-BC FAANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 514 7th St S, Columbus, MS 39701 Phone: 662-328-6293 |
Misti Garnett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 56 Dutch Ln, Columbus, MS 39702 Phone: 662-329-3808 Fax: 662-329-3873 |
Tiffany Watson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3600 Bluecutt Rd Ste 101, Columbus, MS 39705 Phone: 662-570-4770 |
Mrs. Brittany Lee Bowen, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 428 24th Ave N, Columbus, MS 39705 Phone: 662-265-3020 Fax: 844-689-4087 |
Alexys Knell, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 Apple Valley Rd, Columbus, MS 39705 Phone: 512-571-1848 |
John S Dornan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Hospital Dr, Suite 4, Columbus, MS 39705 Phone: 662-240-0650 Fax: 662-240-0483 |