Ridgeland Medical Clinic
NPI 1053917849ActiveOrganization· Family Medicine· Ridgeland, MS
Family Medicine in Ridgeland, Mississippi, registered in NPPES in December 2020. The authorized official on file is Erica Berry, Admin. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1053917849 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 8, 2020 |
| Last updated in NPPES | Apr 23, 2026 |
| Certified by provider | Apr 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (MS) |
|---|
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