Active NPI
Ridgeland Family Medical Ctr
- Family Medicine Physician
- Ridgeland, MS
National Provider Identifier
1285818005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12039
- Legal business name
- RIDGELAND FAMILY MEDICAL CTR
- Practice address
- 305 Highway 51
Ridgeland, MS 39157-3428 - Phone
- (601) 856-9980
- Fax
- (601) 856-9994
- NPI assigned
- Dec 28, 2007
- Last updated
- Dec 29, 2011
- 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
- Carolyn Durr
- Title
- Office Manager
- Phone
- (601) 856-9980
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10806 | MS | |
| Family Medicine Physician | 207Q00000X | 12039 | MS | Primary |
| Clinic/Center | 261Q00000X | 12039 | MS |
Addresses
Primary practice location
305 Highway 51
Ridgeland, MS 39157-3428
Mailing address
305 Highway 51
Ridgeland, MS 39157-3428
Phone (601) 856-9980
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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 Medicine Physician
- Madison, MS
- NPI 1790754307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325116800000",
"number": "1285818005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 HIGHWAY 51",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391573428",
"telephone_number": "601-856-9980",
"fax_number": "601-856-9994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 HIGHWAY 51",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391573428",
"telephone_number": "601-856-9980",
"fax_number": "601-856-9994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIDGELAND FAMILY MEDICAL CTR",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-28",
"last_updated": "2011-12-29",
"status": "A",
"authorized_official_last_name": "DURR",
"authorized_official_first_name": "CAROLYN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "601-856-9980"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MS",
"license": "10806",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MS",
"license": "12039",
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "MS",
"license": "12039",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
- Erin Riddick, LCSW
- Ridgeland Apothecary, LLC. (Ridgeland Apothecary)
- Ridgeland Dental, LLC (Ridgeland Dental)
- Ridgeland Diagnostic Center
- Ridgeland Eyecare Center
- Ridgeland Medical Clinic
- Ridgeland Sports Medicine & Rehab, Inc
- Erin M Rigby, PT
- Jacqueline Nicole Rigsby, NURSE PRACTITIONER
- Paul Riley, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.