NPIMap

Organization Active NPI

Redmed, LLC

Doing business as RedMed

  • Urgent Care Clinic/Center
  • Pontotoc, MS
National Provider Identifier
1437589157
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
REDMED, LLC
Doing business as
RedMed
Practice address
12 Brooks Xing
Pontotoc, MS 38863-1009
Phone
(662) 489-4044
Fax
(662) 489-4041
NPI assigned
Nov 15, 2013
Last updated
Nov 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Authorized official

Name
Mr. John Logan
Title
President
Phone
(662) 489-4044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

12 Brooks Xing
Pontotoc, MS 38863-1009

Mailing address

12 Brooks Xing
Pontotoc, MS 38863-1009
Phone (662) 489-4044

Other names 1

  • RedMed Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140321001095 MS Part B Supplier - Clinic/Group Practice 2961633656 Receives reassigned benefits from 119 practitioners
Practice locations: Batesville, MS; Fulton, MS; Hernando, MS; New Albany, MS; Oxford, MS; Pontotoc, MS; Senatobia, MS
O20210326000833 TN Part B Supplier - Mass Immunization (Roster Biller Only) 2961633656 Practice locations: Arlington, TN; Atoka, TN

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member organizations 8

Organizations listed as members of this organization in the National Provider Directory.

  • Redmed, LLC
    • Durable Medical Equipment & Medical Supplies
    • Batesville, MS
    • NPI 1356173728

    Member Of

    NPD member
  • Redmed, LLC
    • Durable Medical Equipment & Medical Supplies
    • Oxford, MS
    • NPI 1679305031

    Member Of

    NPD member
  • Redmed, LLC
    • Durable Medical Equipment & Medical Supplies
    • Hernando, MS
    • NPI 1700618014

    Member Of

    NPD member
  • Redmed, LLC
    • Durable Medical Equipment & Medical Supplies
    • Pontotoc, MS
    • NPI 1710719232

    Member Of

    NPD member
  • Redmed, LLC
    • Durable Medical Equipment & Medical Supplies
    • Senatobia, MS
    • NPI 1881426252

    Member Of

    NPD member
  • Redmed, LLC
    • Durable Medical Equipment & Medical Supplies
    • New Albany, MS
    • NPI 1902638216

    Member Of

    NPD member
  • Redmed, LLC
    • Durable Medical Equipment & Medical Supplies
    • Fulton, MS
    • NPI 1932931250

    Member Of

    NPD member
  • Redmed, LLC
    • Durable Medical Equipment & Medical Supplies
    • Oxford, MS
    • NPI 1982436234

    Member Of

    NPD member

Locations

1902 Jackson Ave W
#B
Oxford, MS 38655
Phone (662) 234-6464

105A Quality Ln
Senatobia, MS 38668
Phone (662) 298-2144

Practitioners & affiliated clinicians

Practitioners 125

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.

View all 125

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1437589157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BROOKS XING",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388631009",
            "telephone_number": "662-489-4044",
            "fax_number": "662-489-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BROOKS XING",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388631009",
            "telephone_number": "662-489-4044",
            "fax_number": "662-489-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDMED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-489-4044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RedMed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pontotoc, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.

Verify at the official NPI Registry.