Active NPI
Ridgeland Medical Clinic
- Family Medicine Physician
- Ridgeland, MS
National Provider Identifier
1053917849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- RIDGELAND MEDICAL CLINIC
- Practice address
- 587 Highway 51 Ste T
Ridgeland, MS 39157-2567 - Phone
- (601) 790-7711
- Fax
- (601) 790-7712
- NPI assigned
- Dec 8, 2020
- Last updated
- Apr 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erica Berry
- Title
- Admin
- Phone
- (601) 790-7711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
587 Highway 51 Ste T
Ridgeland, MS 39157-2567
Mailing address
587 Highway 51 Ste T
Ridgeland, MS 39157-2567
Phone (601) 790-7711
Other practice location 1
396 Business Park Dr Ste C
Gluckstadt, MS 39110-9482
Phone (601) 790-7711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, GA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
500 Silver Cross Dr
Brookhaven, MS 39601
Phone (601) 405-5394
587 Highway 51
Ste T
Ridgeland, MS 39157
Phone (601) 790-7711
Practitioners & affiliated clinicians
Practitioners 16
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Flowood, MS
- NPI 1063898633
-
- Family Nurse Practitioner
- Brookhaven, MS
- NPI 1265825962
-
- Family Nurse Practitioner
- Ridgeland, MS
- NPI 1487499273
-
- Family Medicine Physician
- Madison, MS
- NPI 1790754307
-
- Family Nurse Practitioner
- Clinton, MS
- NPI 1780652362
-
- Nurse Practitioner
- Jackson, MS
- NPI 1467024901
-
- Family Nurse Practitioner
- Philadelphia, MS
- NPI 1326538315
-
- Adult Health Nurse Practitioner
- Ridgeland, MS
- NPI 1083040562
-
- Family Medicine Physician
- Jackson, MS
- NPI 1649249426
-
- Family Nurse Practitioner
- Greenwood, MS
- NPI 1043662430
-
- Family Nurse Practitioner
- Marks, MS
- NPI 1962852988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776902400000",
"number": "1053917849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "587 HIGHWAY 51 STE T",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391572567",
"telephone_number": "601-790-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "587 HIGHWAY 51 STE T",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391572567",
"telephone_number": "601-790-7711",
"fax_number": "601-790-7712"
}
],
"practiceLocations": [
{
"address_1": "396 Business Park Dr Ste C",
"address_purpose": "LOCATION",
"city": "Gluckstadt",
"state": "MS",
"postal_code": "391109482",
"country_code": "US",
"telephone_number": "601-790-7711",
"fax_number": "601-790-7712",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RIDGELAND MEDICAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-08",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A",
"authorized_official_last_name": "BERRY",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "601-790-7711"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
- Ridgeland Apothecary, LLC. (Ridgeland Apothecary)
- Ridgeland Dental, LLC (Ridgeland Dental)
- Ridgeland Diagnostic Center
- Ridgeland Eyecare Center
- Ridgeland Family Medical Ctr
- Ridgeland Sports Medicine & Rehab, Inc
- Erin M Rigby, PT
- Jacqueline Nicole Rigsby, NURSE PRACTITIONER
- Paul Riley, D.D.S.
- Rise Counseling Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.