Ruth C Gaddis, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R717142 Issued in MS

Practice address

330 N Broad St
Forest, MS 39074-3508

Phone

(601) 469-4771

Fax

(601) 469-4724

NPI assigned

Jun 9, 2006

Last updated

Nov 18, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Independent Healthcare Management, Inc.

  dba S E Lackey Memorial Hospital

  • Critical Access Hospital
  • Forest, MS
  • NPI 1306909734
  Medicare reassignment NPD
• Independent Healthcare Management, Inc.

  dba Total Care Clinic

  • Rural Health Clinic/Center
  • Forest, MS
  • NPI 1245489186
  NPD
• Independent Healthcare Management, Inc.

  dba 35 South Family Medical

  • Rural Health Clinic/Center
  • Raleigh, MS
  • NPI 1871272724
  NPD
• Independent Healthcare Management, Inc.

  dba SE Lackey Memorial Hospital

  • Clinic/Center
  • Forest, MS
  • NPI 1245905405
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1831130715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "MARION",
            "state": "MS",
            "postal_code": "393420520",
            "telephone_number": "601-646-7700",
            "fax_number": "888-735-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N BROAD ST",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390743508",
            "telephone_number": "601-469-4771",
            "fax_number": "601-469-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDIS",
        "first_name": "RUTH",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R717142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126171",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Forest Dental Practice PLLC
• Forest Dental Practice PLLC
• Forest Family Pharmacy, LLC (Forest Family Pharmacy)
• Forest Family Practice Clinic PA
• French's Pharmacy, Inc. (French's Pharmacy of Forest)
• Christina Giles
• Larita Goforth, SLP
• Billy Rashod Gray, PHARMD
• Natalie Grundel
• H&P Dispatching LLC

• Family Nurse Practitioner in Forest, MS
• Providers in Forest, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.