NPIMap

Organization Active NPI

Redmed, LLC

  • Rural Health Clinic/Center
  • Pontotoc, MS
National Provider Identifier
1962233122
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
REDMED, LLC
Practice address
12 Brookes Xing
Pontotoc, MS 38863-1009
Phone
(662) 489-4044
NPI assigned
Aug 9, 2024
Last updated
Aug 9, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
REDMED, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Authorized official

Name
Laurie A. Duncan
Title
Cfo
Phone
(678) 332-6122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

12 Brookes Xing
Pontotoc, MS 38863-1009

Mailing address

12 Brookes Xing
Pontotoc, MS 38863-1009
Phone (678) 332-6122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250310003372 MS Part A Provider - Rural Health Clinic 2961633656 Practice locations: Pontotoc, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962233122. Details of each certification follow.

Rural health clinic certification: CCN A53849

Legal name
REDMED LLC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Feb 6, 2026
Last certification
Feb 6, 2026
Ownership / control type
1C
Organization structure
LLC
Enrollment address
12 Brookes Xing
Pontotoc, MS 38863-1009

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

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

Other organizations with this tax ID 24

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

View all 24

Locations

5389 Airline Rd
Arlington, TN 38002
Phone (901) 209-4978

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
J Hugh Morris Holdings, LLC Organization, New Albany, MS LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 1, 2020 22.3%
Hanna Michael Mitias Individual 5% Or Greater Indirect Ownership Interest Aug 21, 2014 17.65%
Corporate DirectorBoard Member Aug 21, 2014
Carolyn Pillow Revocable Trust Organization, Tupelo, MS Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2013 12.11%
GMH Enterprises LLC Organization, Franklin, TN LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2013 17.65%
George M Hammitt Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2013 17.65%
Corporate DirectorBoard Member Dec 1, 2013
Woodpecker Trust Organization, New Albany, MS Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 21, 2014 17.65%
William Pillow Revocable Trust Organization, Tupelo, MS Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2013 13.75%
Benjamin Morris Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2020 22.3%
Corporate DirectorCeo Sep 1, 2020
Covenant Investment Series II Inc Organization, New Albany, MS Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2013 100%
William P Pillow Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2013 13.75%
Corporate DirectorBoard Member Dec 1, 2013
William Crume Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2013 8.08%
Corporate DirectorBoard Member Dec 1, 2013
Laurie Duncan Individual W-2 Managing EmployeeVP of Revenue Jan 1, 2022
Operational/Managerial ControlVP of Revenue Jan 1, 2022
Carolyn Pillow Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2013 12.11%
Corporate DirectorBoard Member Dec 1, 2013

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Redmed, LLC
    • Rural Health Clinic/Center
    • Batesville, MS
    • NPI 1275364424

    Carolyn Pillow Revocable Trust, Covenant Investment Series II Inc, GMH Enterprises LLC, J Hugh Morris Holdings, LLC, William Pillow Revocable Trust, Woodpecker Trust

    CMS ownership
  • Redmed, LLC
    • Rural Health Clinic/Center
    • Senatobia, MS
    • NPI 1437980695

    Carolyn Pillow Revocable Trust, Covenant Investment Series II Inc, GMH Enterprises LLC, J Hugh Morris Holdings, LLC, William Pillow Revocable Trust, Woodpecker Trust

    CMS ownership
  • Redmed, LLC
    • Rural Health Clinic/Center
    • Oxford, MS
    • NPI 1447081609

    Carolyn Pillow Revocable Trust, Covenant Investment Series II Inc, GMH Enterprises LLC, J Hugh Morris Holdings, LLC, William Pillow Revocable Trust, Woodpecker Trust

    CMS ownership
  • Redmed, LLC
    • Rural Health Clinic/Center
    • New Albany, MS
    • NPI 1609607860

    Carolyn Pillow Revocable Trust, Covenant Investment Series II Inc, GMH Enterprises LLC, J Hugh Morris Holdings, LLC, William Pillow Revocable Trust, Woodpecker Trust

    CMS ownership
  • Redmed, LLC
    • Rural Health Clinic/Center
    • Fulton, MS
    • NPI 1982435145

    Carolyn Pillow Revocable Trust, Covenant Investment Series II Inc, GMH Enterprises LLC, J Hugh Morris Holdings, LLC, William Pillow Revocable Trust, Woodpecker Trust

    CMS ownership

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1962233122",
    "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": "678-332-6122"
        },
        {
            "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": "YES",
        "parent_organization_legal_business_name": "REDMED, LLC",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "678-332-6122"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontotoc, MS

Sources for this page

Verify at the official NPI Registry.