Crossgates Hma Medical Group, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CROSSGATES HMA MEDICAL GROUP, LLC

Doing business as

Medical Associates of Richland

Practice address

1201 Highway 49 S
Suite 1
Richland, MS 39218-9425

Phone

(601) 326-8700

Fax

(601) 326-8710

NPI assigned

Sep 14, 2011

Organization subpart

Yes

Parent organization

HEALTH MANAGEMENT ASSOCIATES, INC.As reported in NPPES

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

Authorized official

Name

Mr. Michael L Gingras

Title

Vice President

Phone

(239) 598-3131

Specialties & licenses 2

Addresses

Other names 1

• Medical Associates of Richland Doing business as

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1972885093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 PELICAN BAY BLVD",
            "address_2": "SUITE 500",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082733",
            "telephone_number": "239-598-3131",
            "fax_number": "239-592-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 HIGHWAY 49 S",
            "address_2": "SUITE 1",
            "city": "RICHLAND",
            "state": "MS",
            "postal_code": "392189425",
            "telephone_number": "601-326-8700",
            "fax_number": "601-326-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSGATES HMA MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH MANAGEMENT ASSOCIATES, INC.",
        "enumeration_date": "2011-09-14",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "GINGRAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "239-598-3131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Associates of Richland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hillary Craddock, DMD
• Crossgates Hma Medical Group, LLC (Medical Associates of Richland)
• Jeffrey Harrel Cumberland, D.M.D.
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• Pediatrics Physician in Richland, MS
• Providers in Richland, MS by specialty
• Pediatrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.