OrganizationActive
Robert Crockett Enterprise LLC
NPI 1114201423 · Foot & Ankle Surgery Podiatrist · Meridian, MS
Provider details
- NPI number
- 1114201423
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Robert Crockett, Member(601) 286-3745
- License
- 80193 (MS)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2310 4th St
Suite a
Meridian, MS 39301-5819
Phone: (601) 286-3745
Street-level locationGet directions
Mailing address
2310 4th St
Meridian, MS 39301-5819
Other names (DBA / former)
- Doing business as
- Magnolia Dme
Registry dates
- Enumerated
- 2011-10-05
- Last updated
- 2011-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.