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RIDGELAND MEDICAL CLINIC
NPI 1053917849
Family Medicine in Ridgeland, MS

Active since December 08, 2020CLIA 25D2202829 · Waiver
587 HIGHWAY 51 STE T, RIDGELAND, MS 39157(601) 790-7711(601) 790-7712 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 23, 2026, Dec 8, 2020 (2 updates tracked since 2020).

About Ridgeland Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIDGELAND MEDICAL CLINIC (NPI 1053917849) is a healthcare organization registered as a family medicine in Ridgeland, Mississippi and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through November 30, 2026, maintains a secondary practice location in Gluckstadt, and lists Erica Berry, Admin, as its authorized official.

NPPES Registry Identity

NPI1053917849
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRIDGELAND MEDICAL CLINIC
Location Address587 HIGHWAY 51 STE TRidgeland, MS 39157-2567
Mailing Address587 Highway 51 Ste TRidgeland, MS 39157-2567 · (601) 790-7711
Phone(601) 790-7711
Fax(601) 790-7712
Organization SubpartNo
Authorized OfficialErica BerryAdmin · (601) 790-7711
Enumeration DateDecember 8, 2020
Last NPPES UpdateApril 23, 20262 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1053917849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
587 HIGHWAY 51 STE T, Ridgeland, MS 39157
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Secondary Practice Location 1

Location 1396 Business Park Dr Ste CGluckstadt, MS 39110-9482 · Phone (601) 790-7711 · Fax (601) 790-7712

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2202829

Ridgeland Medical Clinic · Ridgeland, MS
Active · expires Nov 30, 2026
CLIA Number25D2202829
Laboratory TypePractitioner Other
Certificate Effective DateDecember 1, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorDr. William Whitton
Laboratory Phone(601) 790-7711
Laboratory LocationRidgeland Medical Clinic587 Hwy 51 Ste T, Ridgeland, MS 39157
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ridgeland Medical Clinic's NPI number?

The NPI number for Ridgeland Medical Clinic is 1053917849. It was assigned to this organization in the NPPES registry on December 8, 2020.

Where is Ridgeland Medical Clinic located?

Ridgeland Medical Clinic is located at 587 Highway 51 Ste T, Ridgeland, MS 39157. The listed phone number is (601) 790-7711.

What is Ridgeland Medical Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Ridgeland Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2202829) is associated with this NPI, valid through November 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ridgeland Medical Clinic accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Ridgeland Medical Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ridgeland Medical Clinic was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.