RANDY LYNN NANCE D.O. – NPI #1629058375
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

RANDY NANCE is a physician located in BATESVILLE, MS. NPPES has assigned the NPI number 1629058375 to RANDY NANCE on January 19, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his other name RANDALL NANCE. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 7 years ago on Nov 20, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RANDY NANCE below.

NPI Profile for
RANDALL L. NANCE

NPI Number
1629058375
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RANDALL L. NANCE
Professional Name: RANDY LYNN NANCE
Credentials
D.O.
Primary location
120-HWY 6 W
BATESVILLE, MS 38606
Phone: (662) 360-1789 Fax: (662) 360-1791
Mailing address
200 GREENBRIAR LOOP
OXFORD, MS 38655-2760
Phone: (601) 513-2401 Fax:
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for RANDY NANCE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS00116402
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)
MS 10479
207Q00000X
- Family Medicine
MS 10479

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.