NPIMap

Organization Active NPI

Redmed, LLC

  • Medical Specialty Clinic/Center
  • Pontotoc, MS
National Provider Identifier
1811724149
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
REDMED, LLC
Practice address
12 Brookes Xing
Pontotoc, MS 38863-1009
Phone
(662) 489-4044
NPI assigned
Sep 19, 2024
Last updated
Sep 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Laurie A. Duncan
Title
VP of Revenue
Phone
(678) 332-6122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

12 Brookes Xing
Pontotoc, MS 38863-1009

Mailing address

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

National Provider Directory

National Provider Directory
Tax ID family
Redmed LLC25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1811724149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BROOKES XING",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388631009",
            "telephone_number": "662-489-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BROOKES XING",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388631009",
            "telephone_number": "662-489-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDMED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "VP OF REVENUE",
        "authorized_official_telephone_number": "678-332-6122"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 19, 2024; 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.