Redmed, LLC
Organization Active NPI Rural Health Clinic/Center · Oxford, MS
NPI 1447081609 · NPPES record last updated Aug 9, 2024
Key facts
- NPI
- 1447081609
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- REDMED, LLC
- Practice address
- 1902 Jackson Ave W
Oxford, MS 38655-4206 - Phone
- (662) 234-6464
- NPI assigned
- Aug 9, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- REDMED, LLC
Authorized official
- Name
- Laurie A. Duncan
- Title
- Cfo
- Phone
- (678) 332-6122
Owners & managing parties with NPI records 3
-
Hanna Michael Mitias, M.D.
-
William Parks Pillow, M.D.
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 24
Facilities with the same owner 5
Practitioners 56
-
Cassie Allred, PA-C
-
Kathryn Alred, FNP-C
-
Jennifer Chism Bolen, FNP-C
-
Jana Markita Call, FNP-C, PMHNP-BC
-
Mary Catherine Chandler, FNP-C
-
Cindy Gee, FNP-BC
-
Kellye Glass, NP-C
-
Alanta Jade Goggins, FNP-C
-
Kathryn Goss, NP
-
Erin Danielle Grady, FNP-C
-
April Marie Harris, MSN, BSN, RN
-
Brittany Kelly Harris, NP-C
-
Jennifer Michelle Heindl, FNP-C
-
Raedena Lancaster Hill, FNP-C
-
Brody L Horne, FNP
-
Kayla Ann Jenkins, FNP-C
-
Annah Catherine Lacefield, FNP-C
-
Cynthia Rena Lentz, NURSE PRACTITIONER
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Rural health clinic certification: CCN A53851
- Legal name
- REDMED LLC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Feb 23, 2026
- Last certification
- Feb 23, 2026
- Ownership / control type
- 1C
- Organization structure
- LLC
- Enrollment address
- 1902B Jackson Ave W
Oxford, MS 38655-4206
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| J Hugh Morris Holdings, LLC |
5% Or Greater Indirect Ownership Interest | Sep 1, 2020 | 22.3% |
| Hanna Michael Mitias |
5% Or Greater Indirect Ownership Interest | Aug 21, 2014 | 17.65% |
| Corporate Director |
Aug 21, 2014 | ||
| Carolyn Pillow Revocable Trust |
5% Or Greater Indirect Ownership Interest | Dec 1, 2013 | 12.11% |
| GMH Enterprises LLC |
5% Or Greater Indirect Ownership Interest | Dec 1, 2013 | 17.65% |
| George M Hammitt |
5% Or Greater Indirect Ownership Interest | Dec 1, 2013 | 17.65% |
| Corporate Director |
Dec 1, 2013 | ||
| Woodpecker Trust |
5% Or Greater Indirect Ownership Interest | Aug 21, 2014 | 17.65% |
| William Pillow Revocable Trust |
5% Or Greater Indirect Ownership Interest | Dec 1, 2013 | 13.75% |
| Benjamin Morris |
5% Or Greater Indirect Ownership Interest | Sep 1, 2020 | 22.3% |
| Corporate Director |
Sep 1, 2020 | ||
| Covenant Investment Series II Inc |
5% Or Greater Direct Ownership Interest | Dec 1, 2013 | 100% |
| William P Pillow |
5% Or Greater Indirect Ownership Interest | Dec 1, 2013 | 13.75% |
| Corporate Director |
Dec 1, 2013 | ||
| William Crume |
5% Or Greater Indirect Ownership Interest | Dec 1, 2013 | 8.08% |
| Corporate Director |
Dec 1, 2013 | ||
| Laurie Duncan |
W-2 Managing Employee |
Jan 1, 2022 | |
| Operational/Managerial Control |
Jan 1, 2022 | ||
| Carolyn Pillow |
5% Or Greater Indirect Ownership Interest | Dec 1, 2013 | 12.11% |
| Corporate Director |
Dec 1, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250311000607 | MS | Part a Provider - Rural Health Clinic | 2961633656 | Practice locations: Oxford, MS |
National Provider Directory
- Tax ID family
- Redmed LLC
- Part of
- Redmed LLC
Locations
1902 Jackson Ave W
Oxford, MS 38655
Phone (662) 234-6464
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
1902 Jackson Ave W
Oxford, MS 38655-4206
Mailing address
12 Brookes Xing
Pontotoc, MS 38863-1009
Phone (678) 332-6122
Other providers in Oxford, MS
- RCG Oxford Home Therapies, LLC
- Recoverdream LLC
- Kimberly Jo Redden
- Redmed of North Oxford LLC
- Redmed, LLC
- Redmed, LLC
- Redmed, LLC
- Redmed, LLC
- Monica Redwine
- Laticia Reed
All providers in Oxford, MS · Rural Health Clinic/Center in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.