South Ridge Family Clinic, LLC
NPI 1881930469 · Family Medicine Physician · Ellisville, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Ridge Family Clinic, LLC is a Family Medicine Physician organization in Ellisville, MS (NPI 1881930469).
Provider details
- NPI number
- 1881930469
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marlana Hedgepeth, Owner(601) 477-2221
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
- 2012-12-31
- Last updated
- 2012-12-31
Frequently asked questions
- What is South Ridge Family Clinic, LLC's NPI number?
- South Ridge Family Clinic, LLC's National Provider Identifier (NPI) is 1881930469, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Ridge Family Clinic, LLC?
- South Ridge Family Clinic, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is South Ridge Family Clinic, LLC located?
- South Ridge Family Clinic, LLC's practice location on file with NPPES is 80 Hal Crocker Rd, Ellisville, MS 39437-2089.
- What is South Ridge Family Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for South Ridge Family Clinic, LLC is (601) 477-2221.
- Does South Ridge Family Clinic, LLC accept Medicare?
- South 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 South Ridge Family Clinic, LLC?
- The authorized official listed on South 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 South Ridge Family Clinic, LLC's NPI active?
- Yes — South Ridge Family Clinic, LLC's NPI (1881930469) is active in the NPPES registry as of the last update on 2012-12-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.