MADISON-RIDGELAND MEDICAL CLINIC
NPI 1285894378
Preferred Provider Organization in Ridgeland, MS
NPI Status: Active since June 11, 2008
Contact Information
12 PROFESSIONAL PKWY
RIDGELAND, MS
ZIP 39157
Phone: (601) 856-2460
Fax: (601) 856-4687
- Organization
- Preferred Provider Organization
- CLIA Number: 25D0856603
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
About MADISON-RIDGELAND MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for Madison-ridgeland Medical Clinic, a provider established in Ridgeland, Mississippi operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1285894378 assigned on June 2008. The practitioner's primary taxonomy code is 305R00000X with license number 11037 (MS). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's other name is Madison-ridgeland Medical Clinic. The authorized official of this NPI record is Wesley Dee Granger M.d. (Owner)
- NPI
- 1285894378
- Provider Legal Name
- WESLEY DEE GRANGER, M.D., P.A.
- Other Organization Name
- MADISON-RIDGELAND MEDICAL CLINIC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 12 PROFESSIONAL PKWY RIDGELAND, MS 39157
- Location Phone
- (601) 856-2460
- Location Fax
- (601) 856-4687
- Mailing Address
- 12 PROFESSIONAL PKWY RIDGELAND, MS 39157
- Mailing Phone
- (601) 856-2460
- Mailing Fax
- (601) 856-4687
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-11-2008
- Last Update Date
- 06-11-2008
- Code Navigator
Location Map
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
Preferred Provider Organization
- Taxonomy Code
- 305R00000X
- Type
- Managed Care Organizations
- License No.
- 11037
- License State
- MS
- Taxonomy Description
- A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 305S00000X | Managed Care Organizations | Point of Service | 11037 (MS) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00017026 | MEDICAID (05) | MS | |
| D088022 | MEDICARE UPIN (02) | MS | |
| 110000443 | MEDICARE PIN (08) | MS |
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
- 25D0856603
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- INDIRA VEERISETTY
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Madison-ridgeland Medical Clinic in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 1285894378, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
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 72 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285894378, enumerated as an "organization" on June 11, 2008.
The provider is located at 12 PROFESSIONAL PKWY RIDGELAND, MS 39157 and the phone number is (601) 856-2460.
Preferred Provider Organization with taxonomy code 305R00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
