Pine Ridge Family Clinic, LLC
NPI 1366075236 · Nurse Practitioner · Collins, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pine Ridge Family Clinic, LLC is a Nurse Practitioner organization in Collins, MS (NPI 1366075236).
Provider details
- NPI number
- 1366075236
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Marlana Hedgepeth, Owner(601) 765-6834
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
6 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
Mailing address
Registry dates
- Enumerated
- 2020-02-19
- Last updated
- 2020-07-13
- Certified
- 2020-07-13
Frequently asked questions
- What is Pine Ridge Family Clinic, LLC's NPI number?
- Pine Ridge Family Clinic, LLC's National Provider Identifier (NPI) is 1366075236, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pine Ridge Family Clinic, LLC?
- Pine Ridge Family Clinic, LLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Pine Ridge Family Clinic, LLC located?
- Pine Ridge Family Clinic, LLC's practice location on file with NPPES is 3248 Highway 49, Collins, MS 39428.
- What is Pine Ridge Family Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pine Ridge Family Clinic, LLC is (601) 800-8580.
- Does Pine Ridge Family Clinic, LLC accept Medicare?
- Pine Ridge Family Clinic, 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 Pine Ridge Family Clinic, LLC?
- The authorized official listed on Pine Ridge Family Clinic, LLC's NPPES record is Marlana Hedgepeth, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pine Ridge Family Clinic, LLC's NPI active?
- Yes — Pine Ridge Family Clinic, LLC's NPI (1366075236) is active in the NPPES registry as of the last update on 2020-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.