Individual provider Active NPI

Ridgeland Clay Dabbs, DO

  • Family Medicine Physician
  • Tupelo, MS
National Provider Identifier
1104440544
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29209 Issued in MS
Practice address
1665 S Green St
Tupelo, MS 38804-6556
Phone
(662) 377-2189
NPI assigned
Jun 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29209 MS Primary

Addresses

Primary practice location

1665 S Green St
Tupelo, MS 38804-6556

Mailing address

1665 S Green St
Tupelo, MS 38804-6556
Phone (662) 377-2189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211011001276 MS Practitioner - Family PracticePractitioner - Emergency Medicine 5890110357 Reassigns benefits to 7 organizations
I20240212004107 MO Practitioner - Emergency Medicine 5890110357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Emergency Services Inc.Group PAC ID 5799697272, 35 clinicians
Sikeston Emergency Group LLCGroup PAC ID 6305112814, 19 clinicians
Relias Emergency Medicine Specialists of Amory, LLCGroup PAC ID 4486088853, 27 clinicians
Relias Emergency Medicine Specialists of West Point, LLCGroup PAC ID 0042648594, 24 clinicians

Practice addresses (Care Compare)

100 Hospital St
Booneville, MS 38829-3354
Phone (662) 720-5000

1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600

1105 Earl Frye Blvd
Amory, MS 38821-5500
Phone (662) 256-7111

150 Medical Ctr Dr
West Point, MS 39773-0428
Phone (662) 495-2300

Hospital & facility affiliations

  • North Mississippi Medical Center-Gilmore Amory Hospital, Amory, MS, CCN 250025
  • Baptist Memorial Hospital Booneville Hospital, Booneville, MS, CCN 250044
  • Missouri Delta Medical Center Hospital, Sikeston, MO, CCN 260113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince Sep 15, 2021 Accepting new patients
Relias Emergency Medicine Specialists of West Point, LLC CurrentSince May 10, 2024 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC CurrentSince Sep 15, 2021 Accepting new patients
United Emergency Services, Inc. CurrentSince Jun 29, 2022 Accepting new patients
Relias Hospitalist Medicine Specialists of Amory LLC CurrentSince May 25, 2025 Accepting new patients
Relias Emergency Medicine Specialists of Amory, LLC CurrentSince Mar 18, 2024 Accepting new patients
Sikeston Emergency Group LLC CurrentSince Jan 8, 2024 Accepting new patients
Relias Emergency Medicine Specialists of Tupelo LLC CurrentSince Dec 5, 2023 Accepting new patients

Locations

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

100 Hospital St
Booneville, MS 38829
Phone (662) 720-5000

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

Interoperability endpoints

  • Direct secure messaging: rdabbs295461@direct.bmhcc.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1104440544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 S GREEN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388046556",
            "telephone_number": "662-377-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 S GREEN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388046556",
            "telephone_number": "662-377-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABBS",
        "first_name": "RIDGELAND",
        "middle_name": "CLAY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-02",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "29209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.