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EMMANUEL MEDICAL CLINIC
NPI 1407114432
Nurse Practitioner - Family in Ridgeland, MS

Active since April 27, 2012
637 HIGHWAY 51 NORTH, SUITE E, RIDGELAND, MS 39157(601) 209-5133 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emmanuel Medical Clinic NPPES

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

EMMANUEL MEDICAL CLINIC (NPI 1407114432) is a healthcare organization registered as a family in Ridgeland, Mississippi and active in the NPI registry since April 2012. The organization lists Donna Kay Pittman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407114432
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameEMMANUEL HEALTH SERVICES
Location Address637 HIGHWAY 51 NORTH, SUITE ERidgeland, MS 39157
Mailing AddressPo Box 2056Ridgeland, MS 39158-2056 · (601) 605-8820 · Fax (601) 605-8920
Phone(601) 209-5133
Organization SubpartNo
Authorized OfficialDonna Kay PittmanCeo · (601) 209-5133
Enumeration DateApril 27, 2012
Last NPPES UpdateJuly 9, 2019
✔ NPI 1407114432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · R845316
637 HIGHWAY 51 NORTH, Ridgeland, MS 39157
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Other Names 1

Doing Business AsEmmanuel Medical Clinic

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 Molina Healthcare.Insurance ›

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 Emmanuel Health Services's NPI number?

The NPI number for Emmanuel Health Services is 1407114432. It was assigned to this organization in the NPPES registry on April 27, 2012. The provider is doing business as Emmanuel Medical Clinic.

Where is Emmanuel Health Services located?

Emmanuel Health Services is located at 637 Highway 51 North Suite E, Ridgeland, MS 39157. The listed phone number is (601) 209-5133.

What is Emmanuel Health Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Emmanuel Health Services accept?

Health plans from Molina Healthcare list Emmanuel Health Services 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 Emmanuel Health Services was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.