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ENNOBLE HC MS LLC
NPI 1467379891
Family Medicine - Geriatric Medicine in Ridgeland, MS

Active since July 06, 2026
7048 OLD CANTON RD STE 2E, RIDGELAND, MS 39157(551) 295-8223 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 3, 2026, Jul 6, 2026 (2 updates tracked since 2026).

About Ennoble Hc Ms Llc NPPES

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

ENNOBLE HC MS LLC (NPI 1467379891) is a healthcare organization registered as a geriatric medicine in Ridgeland, Mississippi and active in the NPI registry since July 2026. The organization lists Kush Das, Owner, as its authorized official.

NPPES Registry Identity

NPI1467379891
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameENNOBLE HC MS LLC
Location Address7048 OLD CANTON RD STE 2ERidgeland, MS 39157-1021
Mailing Address2 University Plz Ste 204Hackensack, NJ 07601-6211 · (551) 300-2628
Phone(551) 295-8223
Organization SubpartNo
Authorized OfficialKush DasOwner · (862) 812-9010
Enumeration DateJuly 6, 2026
Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1467379891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
7048 OLD CANTON RD STE 2E, Ridgeland, MS 39157
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ennoble Hc Ms Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Ennoble Hc Ms LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Courtney Gordon, NP
Nurse Practitioner
NPI 1891312948
410 ORCHARD PARK
Ridgeland, MS 39157
(601) 957-0727
✔ PECOS✔ Accepts Medicare1.5 mi
Heather Silverii, FNP
Nurse Practitioner
NPI 1689289464
501 AVALON WAY STE C
Brandon, MS 39047
(601) 992-9790
✔ PECOS✔ Accepts Medicare4.9 mi
Kacy Ard, NP
Nurse Practitioner
NPI 1851059950
501 AVALON WAY STE C
Brandon, MS 39047
(601) 573-7012
✔ PECOS✔ Accepts Medicare4.9 mi
Carole Singleton, CFNP
Nurse Practitioner
NPI 1134210693
108 FOUR LANE HIGHWAY 49
Bentonia, MS 39040
(662) 998-8900
✔ PECOS✔ Accepts Medicare22 mi
Kimberly Watkins, FNP-C
Nurse Practitioner
NPI 1376284752
309 MAGNOLIA DR
Raleigh, MS 39153
(601) 782-4244
✔ PECOS✔ Accepts Medicare44 mi
Ifeoma Nnaji, MD
Family Practice
NPI 1295830701
1300 JOSEPH E BOONE BLVD NW
Atlanta, GA 30314
(678) 843-8790
✔ PECOS342 mi
Mark Bradshaw, M.D
Internal Medicine
NPI 1316107428
50 GLENLAKE PKWY STE 420
Sandy Springs, GA 30328
(551) 295-8223
✔ PECOS349 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ennoble Hc Ms LLC's NPI number?

The NPI number for Ennoble Hc Ms LLC is 1467379891. It was assigned to this organization in the NPPES registry on July 6, 2026.

Where is Ennoble Hc Ms LLC located?

Ennoble Hc Ms LLC is located at 7048 Old Canton Rd Ste 2E, Ridgeland, MS 39157. The listed phone number is (551) 295-8223.

What is Ennoble Hc Ms LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Ennoble Hc Ms LLC enrolled in Medicare?

Yes. Ennoble Hc Ms LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ennoble Hc Ms LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Ennoble Hc Ms LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Family Practice (1) and Internal Medicine (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ennoble Hc Ms LLC was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.