1. Home
  2. Directory
  3. Mississippi
  4. Jackson
  5. Clinic Center
  6. NPI Profile

REDDIX MEDICAL GROUP
NPI 1720213069
Clinic/Center in Jackson, MS

Active since May 15, 2009CLIA 25D0920737 · Waiver
5903 RIDGEWOOD RD, SUITE 310, JACKSON, MS 39211(601) 899-3310(601) 899-3314 Get Directions Write a Review

NPPES record last updated: May 15, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Reddix Medical Group NPPES

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

REDDIX MEDICAL GROUP (NPI 1720213069) is a healthcare organization registered as a clinic/center in Jackson, Mississippi and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through December 14, 2027 and lists Gloria Grennell, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1720213069
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameREDDIX MEDICAL GROUP
Location Address5903 RIDGEWOOD RD, SUITE 310Jackson, MS 39211-3700
Mailing Address5903 Ridgewood Rd, Suite 310Jackson, MS 39211-3700 · (601) 899-3310 · Fax (601) 899-3314
Phone(601) 899-3310
Fax(601) 899-3314
Organization SubpartNo
Authorized OfficialGloria GrennellOffice Manager · (601) 899-3310
Enumeration DateMay 15, 2009
✔ NPI 1720213069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
5903 RIDGEWOOD RD, Jackson, MS 39211
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINE11825MS

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D0920737

Reddix Medical Group · Jackson, MS
Active · expires Dec 14, 2027
CLIA Number25D0920737
Laboratory TypePhysician Office
Certificate Effective DateDecember 15, 2025
Certificate Expiration DateDecember 14, 2027
Laboratory DirectorNatalie Brookins Reddix
Laboratory Phone(601) 899-3310
Laboratory LocationReddix Medical Group6501 Dogwood View Parkway, Suite B, Jackson, MS 39213
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

RANEY WATTERS SLP
Speech-Language Pathologist
5903 RIDGEWOOD RD
JACKSON, MS 39211
Hinds County (601) 899-3800
MRS. AMBER NICOLE WHITEHORN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
5903 RIDGEWOOD RD
JACKSON, MS 39211
Hinds County (601) 984-4820
THE PAIN CLINIC OF MISSISSIPPI, PLLC
Nurse Practitioner (Family)
5903 RIDGEWOOD RD, SUITE 440
JACKSON, MS 39211
Hinds County (601) 899-3989
GENEVIEVE CELESTE GARRETT LCSW, MPH, CHES
Social Worker (Clinical)
5903 RIDGEWOOD RD
JACKSON, MS 39211
Hinds County (601) 984-2955
LESLIE ROOKS R.N.F.A.
Registered Nurse (Registered Nurse First Assistant)
5903 RIDGEWOOD RD
JACKSON, MS 39211
Hinds County (601) 982-8121
DIVERSIFIED RENAL GROUP LLC
Internal Medicine (Nephrology)
5903 RIDGEWOOD RD, STE 340
JACKSON, MS 39211
Hinds County (601) 899-3340
SELECT SPECIALTY HOSPITAL - JACKSON INC
Long Term Care Hospital
5903 RIDGEWOOD RD
JACKSON, MS 39211
Hinds County (601) 376-1099
MEDICAL CARE ALLIANCE LLC
Clinic/Center (Health Service)
5903 RIDGEWOOD RD, SUITE 310
JACKSON, MS 39211
Hinds County (601) 899-3320

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 Reddix Medical Group's NPI number?

The NPI number for Reddix Medical Group is 1720213069. It was assigned to this organization in the NPPES registry on May 15, 2009.

Where is Reddix Medical Group located?

Reddix Medical Group is located at 5903 Ridgewood Rd Suite 310, Jackson, MS 39211. The listed phone number is (601) 899-3310.

What is Reddix Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Reddix Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0920737) is associated with this NPI, valid through December 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Reddix Medical Group was last updated on May 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.