Individual provider Active NPI

Elizabeth Orr, FNP

  • Family Nurse Practitioner
  • Ridgeland, MS
National Provider Identifier
1487499273
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
914765 Issued in MS
Practice address
113 W Jackson St # 1a
Ridgeland, MS 39157-2401
Phone
(769) 289-3335
Fax
(769) 289-3336
NPI assigned
Jun 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 914765 MS Primary

Addresses

Primary practice location

113 W Jackson St # 1a
Ridgeland, MS 39157-2401

Mailing address

113 W Jackson St # 1a
Ridgeland, MS 39157-2401
Phone (769) 289-3335

Other practice location 1

587 Highway 51 Ste T
Ridgeland, MS 39157-2567
Phone (601) 790-7711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240809000404 MS Practitioner - Nurse Practitioner 1254878127 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Mississippi School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgeland Medical ClinicGroup PAC ID 9032524400, 5 clinicians

Practice addresses (Care Compare)

113 W Jackson St
1A
Ridgeland, MS 39157-2401
Phone (769) 289-3335

587 Hwy 51
Suite T
Ridgeland, MS 39157-2567
Phone (601) 790-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
914765MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
R3 Wellness and Infusion, LLC Family CurrentSince Sep 3, 2025 Accepting new patients
Ridgeland Medical Clinic CurrentSince Jul 1, 2024 Accepting new patients
Boatox LLC Family Current Accepting new patients

Locations

587 Highway 51
Ste T
Ridgeland, MS 39157
Phone (601) 790-7711

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1487499273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W JACKSON ST # 1A",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572401",
            "telephone_number": "769-289-3335",
            "fax_number": "769-289-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W JACKSON ST # 1A",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572401",
            "telephone_number": "769-289-3335",
            "fax_number": "769-289-3336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "587 Highway 51 Ste T",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391572567",
            "country_code": "US",
            "telephone_number": "601-790-7711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORR",
        "first_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "914765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

Verify at the official NPI Registry.