Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Farelon Elise Randle

Individual provider Family Nurse Practitioner · NPI 1730774290

Farelon Elise Randle is a Nurse Practitioner in Starkville, Mississippi. Qualified in 2022, 4 years ago. Practices with Golden Triangle Urgent Care LLC, a 15-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
4
Licensed in
MS
In the registry since
2021
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Practice location Address checks out

500 Russell St Ste 3
Starkville, MS 39759-5411
Phone: (662) 324-2244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 905602 (MS)

Record details

NPI number1730774290
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 6, 2021
Last updated in NPPESApril 1, 2024
Certification dateApril 1, 2024
Mailing address830 S Gloster St, Tupelo, MS 38801-4996

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Golden Triangle Urgent Care Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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