Dudley Medical Services, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DUDLEY MEDICAL SERVICES, LLC

Practice address

1116 Forest Ave
Jackson, MS 39206-3216

Phone

(601) 213-7681

NPI assigned

Oct 25, 2016

Organization subpart

No

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

Authorized official

Name

Shinita Dudley, MD

Title

Owner

Phone

(601) 213-7681

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1760934707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 FOREST AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 FOREST AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063216",
            "telephone_number": "601-213-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUDLEY MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "SHINITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-213-7681",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Dubard, FNP
• Patricia Marie Dubbert, PH.D.
• Brelynn Dubose
• Savannah Duckworth, M.D.
• Duddleston Management, LLC
• Kylie Danielle Dufrene
• Misty Dugas
• Katherine Duggan, PHARMD
• William Neil Duggar, PHD, DABR
• Sharon Faith Dugger, AGNP

• Family Medicine Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.