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

South Ridge Family Clinic, LLC

Organization Family Medicine Physician · NPI 1881930469

South Ridge Family Clinic, LLC provides Family Medicine Physician services in Ellisville, Mississippi. Registered with an NPI since 2012.

In the registry since
2012
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

80 Hal Crocker Rd
Ellisville, MS 39437-2089 Not confirmed with CMS for 13 years — call before visiting
Phone: (601) 477-2221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1881930469
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marlana Hedgepeth — Owner · (601) 477-2221
NPI enumeratedDecember 31, 2012
Last updated in NPPESDecember 31, 2012
Mailing address80 Hal Crocker Rd, Ellisville, MS 39437-2089

Other providers in Ellisville