Converge Inc.

Primary specialty

Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X

Legal business name

CONVERGE INC.

Practice address

715 S Pear Orchard Rd Ste 402
Ridgeland, MS 39157-4809

Phone

(601) 500-2681

NPI assigned

Mar 9, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jamie Bardwell

Title

Co-Director

Phone

(601) 500-2681

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1093415770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S PEAR ORCHARD RD STE 402",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574809",
            "telephone_number": "601-500-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S PEAR ORCHARD RD STE 402",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574809",
            "telephone_number": "601-500-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVERGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "BARDWELL",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "601-500-2681"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Compscript, LLC
• R L Conerly Jr., OT
• Shavon A Conerly, PT
• Jessica Erin Conner, M.S., CCC-SLP
• Mustapha Conteh, RPH
• Courtney Rey Convertino, MD
• Crystal J Cook, LPTA
• Mary Kathryn Simmons Cook
• Ramona Raschelle Cork
• Roger D. Corley Jr., P-LPC

• Non-Surgical Family Planning Clinic/Center in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Non-Surgical Family Planning Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.