Southern Medical Consultants LLC
NPI 1215396577 · Primary Care Nurse Practitioner · Ridgeland, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Medical Consultants LLC is a Primary Care Nurse Practitioner organization in Ridgeland, MS (NPI 1215396577).
Provider details
- NPI number
- 1215396577
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Michael Berry, Owner(601) 927-9355
- License
- R733261 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 108 Four Lane Highway 49Bentonia, MS 39040-9433Phone: (601) 992-9790Fax: (601) 992-9796
Registry dates
- Enumerated
- 2016-02-15
- Last updated
- 2025-04-18
- Certified
- 2025-04-18
Frequently asked questions
- What is Southern Medical Consultants LLC's NPI number?
- Southern Medical Consultants LLC's National Provider Identifier (NPI) is 1215396577, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Medical Consultants LLC?
- Southern Medical Consultants LLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Southern Medical Consultants LLC located?
- Southern Medical Consultants LLC's practice location on file with NPPES is 7048 Old Canton Rd Ste 2e, Ridgeland, MS 39157-1021.
- What is Southern Medical Consultants LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Medical Consultants LLC is (601) 992-9790.
- Does Southern Medical Consultants LLC accept Medicare?
- Southern Medical Consultants LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Medical Consultants LLC?
- The authorized official listed on Southern Medical Consultants LLC's NPPES record is Michael Berry, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Medical Consultants LLC's NPI active?
- Yes — Southern Medical Consultants LLC's NPI (1215396577) is active in the NPPES registry as of the last update on 2025-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.