Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Pine Ridge Family Clinic, LLC

Organization Nurse Practitioner · NPI 1366075236

Pine Ridge Family Clinic, LLC provides Nurse Practitioner services in Collins, Mississippi. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3248 Highway 49
Collins, MS 39428
Phone: (601) 800-8580
Fax: (601) 800-8583
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1366075236
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marlana Hedgepeth — Owner · (601) 765-6834
NPI enumeratedFebruary 19, 2020
Last updated in NPPESJuly 13, 2020
Certification dateJuly 13, 2020
Mailing addressPo Box 177, Ellisville, MS 39437-0177

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