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

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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