Reddix Family Clinic PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

REDDIX FAMILY CLINIC PA

Practice address

5903 Ridgewood Rd
Ste 310
Jackson, MS 39211-3702

Phone

(601) 899-3310

Fax

(601) 899-3314

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carl M Reddix, M.D.

Title

President

Phone

(601) 899-3310

Specialties & licenses 1

Addresses

Other names 1

• REDDIX MEDICAL GROUP Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Natalie Brookins-Reddix, M.D.

  • Internal Medicine Physician
  • Jackson, MS
  • NPI 1720094196
  Medicare reassignment Care Compare group
• Leondrea Deanna Collins, FNP-C

  • Family Nurse Practitioner
  • Jackson, MS
  • NPI 1639608813
  Medicare reassignment Care Compare group
• Maurice McShan, M.D.

  • Internal Medicine Physician
  • Jackson, MS
  • NPI 1770597163
  Medicare reassignment Care Compare group
• Dusharme Lakiva-Ann Moore, NP

  • Family Nurse Practitioner
  • Jackson, MS
  • NPI 1386367092
  Medicare reassignment Care Compare group
• Esther W. Quinn, MS,RD

  • Registered Dietitian
  • Oak Vale, MS
  • NPI 1619155140
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1811901242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5903 RIDGEWOOD RD STE 310",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392113702",
            "telephone_number": "601-899-3310",
            "fax_number": "601-899-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5903 RIDGEWOOD RD",
            "address_2": "STE 310",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392113702",
            "telephone_number": "601-899-3310",
            "fax_number": "601-899-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDIX FAMILY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "REDDIX",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-899-3310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REDDIX MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frank Howard Redd III, MD
• Moya Redd, LMT
• Hannah Taylor Redden, CRNA
• Nathan Kyle Redden
• Edwin L Redding, DDS
• Reddix Medical Group
• Carl M Reddix, M.D.
• Raveena Reddy
• John Redhead
• Olivia Clare Redmann, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.