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Active NPI 1346355583 Individual Practitioner Female Practitioner

Glynnis D Randall , FNP

Nurse Practitioner • Wiggins, MS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Glynnis Randall, FNP is a certified Nurse Practitioner practicing in Wiggins, MS. With approximately 31 years of clinical experience since completing medical education in 1995, Glynnis Randall delivers high-quality medical care to the local community at 975 HALL ST.

Glynnis Randall is affiliated with Memorial Hospital At Gulfport and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

975 Hall St

Wiggins, MS 395772107

Telephone 6015289119
Fax 6015289193
Associated Practice Facility / Clinic
🏢 Wiggins Primary Care Facility NPI 1740293257

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Wiggins, MS

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
31 Yrs +15.8 yrs vs City Avg
City Avg: 15.2 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
6 Specialists

Practicing in Wiggins, MS (1098 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Randall (31 Years) 31 Yrs
Wiggins Specialty Average (15.2 Years) 15.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
20 20 $105.00 $39.67

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MS R764278

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0116288 (MS)

Hospital & Practice Group Affiliations

Memorial Hospital At Gulfport

1110 Broad Ave, Gulfport, MS 395018908

Phone: 2288640314

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. James Holmes , MD

Family Medicine

NPI 1245274414

Doctor of Medicine (M.D.)

Melanie Hughes , FNP

Nurse Practitioner - Family

NPI 1275397507

Family Nurse Practitioner

Dr. Donald Doran , DO

Family Medicine

NPI 1518906734

Doctor of Osteopathic Medicine (D.O.)

Dr. Deepinder Burn , MD

Internal Medicine

NPI 1639182124

Doctor of Medicine (M.D.)

Erin Couey

Nurse Practitioner - Family

NPI 1750229118
Crystal Stafford , FNP-C

Nurse Practitioner - Family

NPI 1851816797

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 22, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 22, 2016

Registered at 975 HALL ST, WIGGINS, MS 395772107 (Tel: 6015289119)

📍
Updated Business Mailing Address November 22, 2016

Registered at PO BOX 1007, LUCEDALE, MS 394521007 (Tel: 6019471332)

👤
Provider Name / Credentials Updated November 22, 2016

Recorded as GLYNNIS RANDALL, F.N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2016

Nurse Practitioner (License #R764278 in MS)

🟢
Initial NPI Registration & Enumeration August 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346355583
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2006
Last Update: November 22, 2016
Sole Proprietor: No

Mailing Address

Po Box 1007

Lucedale, MS 394521007

Phone: 6019471332

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.