OrganizationActive
Northstar Healthcare-Beta LLC
NPI 1982299012 · Family Medicine Physician · Ridgeland, MS
Provider details
- NPI number
- 1982299012
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelsey Blevins, National Director of Operations(901) 378-3561
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1060 E County Line Rd Ste 6
Ridgeland, MS 39157-1937
Phone: (601) 438-2678
Fax: (601) 438-2679
Street-level locationGet directions
Mailing address
1060 E County Line Rd Ste 6
Ridgeland, MS 39157-1937
Registry dates
- Enumerated
- 2021-03-01
- Last updated
- 2021-04-13
- Certified
- 2021-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.