SOUTHERN MEDICAL CONSULTANTS LLC
NPI 1215396577
Nurse Practitioner - Primary Care in Ridgeland, MS
NPI Status: Active since February 15, 2016
Contact Information
7048 OLD CANTON RD STE 2E
RIDGELAND, MS
ZIP 39157
Phone: (601) 992-9790
Fax: (601) 992-9796
- Organization
- Nurse Practitioner
- Primary Care
- Accepts Insurance
- CLIA Number: 25D2322665
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 04-23-2027
About SOUTHERN MEDICAL CONSULTANTS LLC
This page provides the complete NPI Profile along with additional information for Southern Medical Consultants Llc, a provider established in Ridgeland, Mississippi operating as a Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1215396577 assigned on February 2016. The practitioner's primary taxonomy code is 363LP2300X with license number R733261 (MS). The provider is registered as an organization and their NPI record was last updated June 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Michael Berry (Owner)
- NPI
- 1215396577
- Provider Name
- SOUTHERN MEDICAL CONSULTANTS LLC
- Entity Type
- Organization
- Location Address
- 7048 OLD CANTON RD STE 2E RIDGELAND, MS 39157
- Location Phone
- (601) 992-9790
- Location Fax
- (601) 992-9796
- Mailing Address
- 7048 OLD CANTON RD STE 2E RIDGELAND, MS 39157
- Mailing Phone
- (601) 992-9790
- Mailing Fax
- (601) 992-9796
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-15-2016
- Last Update Date
- 06-12-2026
- Code Navigator
A nurse practitioner (NP) like Southern Medical Consultants Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 108 Four Lane Highway 49
Bentonia, MS 39040
(601) 992-9790
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Primary Care
- Taxonomy Code
- 363LP2300X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- R733261
- License State
- MS
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Molina Gold Standard - HMO
- Molina Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D2322665
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- April 24, 2025
- Certificate Expiration Date
- April 23, 2027
- Laboratory Director
- MICHAEL C. BERRY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southern Medical Consultants Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1215396577, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
RIDGELAND, MS 39157
RIDGELAND, MS 39157
RIDGELAND, MS 39157
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215396577, enumerated as an "organization" on February 15, 2016.
The provider is located at 7048 OLD CANTON RD STE 2E RIDGELAND, MS 39157 and the phone number is (601) 992-9790.
Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.
The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.
