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DUDDLESTON MANAGEMENT, LLC
NPI 1154876290
Internal Medicine in Jackson, MS

Active since August 18, 2016
1116 FOREST AVE, JACKSON, MS 39206(601) 291-1993 Get Directions Write a Review

NPPES record last updated: August 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Duddleston Management, Llc NPPES

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

DUDDLESTON MANAGEMENT, LLC (NPI 1154876290) is a healthcare organization registered as an internal medicine in Jackson, Mississippi and active in the NPI registry since August 2016. The organization lists David Duddleston, Owner, as its authorized official.

NPPES Registry Identity

NPI1154876290
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDUDDLESTON MANAGEMENT, LLC
Location Address1116 FOREST AVEJackson, MS 39206-3216
Mailing AddressPo Box 9178Russellville, AR 72811-9178 · (479) 498-6700 · Fax (479) 968-4331
Phone(601) 291-1993
Organization SubpartNo
Authorized OfficialDavid DuddlestonOwner · (601) 291-1993
Enumeration DateAugust 18, 2016
✔ NPI 1154876290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1116 FOREST AVE, Jackson, MS 39206
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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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COTTAGE GROVE NURSING HOME, LP
Skilled Nursing Facility
1116 FOREST AVE
JACKSON, MS 39206
Hinds County (601) 366-6461
FOREST AVENUE OPCO, LLC
Skilled Nursing Facility
1116 FOREST AVE
JACKSON, MS 39206
Hinds County (601) 366-6461
INTERNAL MEDICINE CLINIC OF CANTON, INC
Internal Medicine
1116 FOREST AVE
JACKSON, MS 39206
Hinds County (601) 750-8376
DUDLEY MEDICAL SERVICES, LLC
Family Medicine
1116 FOREST AVE
JACKSON, MS 39206
Hinds County (601) 213-7681

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 Duddleston Management, LLC's NPI number?

The NPI number for Duddleston Management, LLC is 1154876290. It was assigned to this organization in the NPPES registry on August 18, 2016.

Where is Duddleston Management, LLC located?

Duddleston Management, LLC is located at 1116 Forest Ave, Jackson, MS 39206. The listed phone number is (601) 291-1993.

What is Duddleston Management, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Duddleston Management, LLC was last updated on August 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.