Madison Ridgeland Children'S Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MADISON RIDGELAND CHILDREN'S CLINIC

Practice address

297 Highway 51
Suite B
Ridgeland, MS 39157-3423

Phone

(601) 856-2598

Fax

(601) 856-4459

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Sara R Parker

Title

Office Manager

Phone

(601) 856-2598

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie B Delaney, M.D.

  • Specialist
  • Ridgeland, MS
  • NPI 1982715454
  NPD (past)
• Ashley W McGlawn, M.D.

  • Pediatrics Physician
  • Madison, MS
  • NPI 1407274426
  NPD (past)
• William David Payne, M.D.

  • Specialist
  • Ridgeland, MS
  • NPI 1467563916
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346351715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 HIGHWAY 51",
            "address_2": "SUITE B",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391573423",
            "telephone_number": "601-856-2598",
            "fax_number": "601-856-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 HIGHWAY 51",
            "address_2": "SUITE B",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391573423",
            "telephone_number": "601-856-2598",
            "fax_number": "601-856-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON RIDGELAND CHILDREN'S CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "601-856-2598",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09008705",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joyce Lyle Massingill, CCC-SLP
• Samuel Dennison Lyles, PHARMD
• Shenia Lyons, PH.D.
• Madison Community Care Center LLC
• Madison County Schools
• Holly H. Magee, M.S., C.C.C., SLP
• Magnolia Health Plan, Inc.
• Magnolia Premier Medical Group PLLC
• Samuel Maison
• Hope Michelle Mallard

• All providers in Ridgeland, MS
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.