Richard M Price MD PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

13907 Issued in MS

Legal business name

RICHARD M PRICE MD PA

Doing business as

Price Dermatology

Practice address

230 Trace Colony Park Dr Ste 2
Ridgeland, MS 39157

Phone

(601) 992-3996

Fax

(769) 300-3112

NPI assigned

May 7, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Richard M Price, M.D.NPI 1174532790

Title

Owner/ Administrator

Phone

(601) 856-6024

Specialties & licenses 1

Addresses

Other names 1

• Price Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Richard Price, MD

  • Family Medicine Physician
  • Ridgeland, MS
  • NPI 1174532790
  Medicare reassignment Care Compare group Authorized official
• Amy Heidelberg, FNP-C

  • Nurse Practitioner
  • Jackson, MS
  • NPI 1982165080
  Medicare reassignment Care Compare group NPD
• Ashley Ann Price, FNP

  • Family Nurse Practitioner
  • Ridgeland, MS
  • NPI 1508593690
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1518191329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 TRACE COLONY PARK DR STE 2",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578810",
            "telephone_number": "601-992-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 TRACE COLONY PARK DR STE 2",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "39157",
            "telephone_number": "601-992-3996",
            "fax_number": "769-300-3112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 Draperton Ct Ste A",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391573905",
            "country_code": "US",
            "telephone_number": "601-992-3996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "212 Draperton Ct Ste A",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391573905",
            "country_code": "US",
            "telephone_number": "601-992-3996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RICHARD M PRICE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "601-856-6024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MS",
            "license": "13907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Price Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Price Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea McGann Reynolds, OT
• Ashley Lynn Reynolds, SLP
• Jessica Malone Rhaly, DPT
• Lisa Marie Rhodes, PT
• Casee Leigh Rhodus, MS, ATC, LAT
• Chloe Nichole Richardson
• Kenneth Jay Riche, PTA
• Erin Riddick, LCSW
• Ridgeland Apothecary, LLC. (Ridgeland Apothecary)
• Ridgeland Dental, LLC (Ridgeland Dental)

• Clinic/Center in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.