SPRINGRIDGE MEDICAL CLINIC


Address: 507 Springridge Rd Ste A, Clinton, MS 39056-5628
Phone: 6017081414

SPRINGRIDGE MEDICAL CLINIC (NPI# 1689217978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689217978
Entity Type Organization
Organization Name SPRINGRIDGE MEDICAL CLINIC
Practice Address 507 Springridge Rd Ste A
Clinton
MS 39056-5628
Practice Telephone 6017081414
Practice Fax Number 6017081415
Mailing Telephone 6017081414
Mailing Fax Number 6017081415
Enumeration Date 2019-10-20
Last Update Date 2019-10-20
Authorized Official Name DR. SHINITA REED DUDLEY (DR.)
Authorized Official Telephone 6012137681
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Office Location

Street Address 507 SPRINGRIDGE RD STE A
City CLINTON
State MS
Zip Code 39056-5628

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376012724 John Melvin Goolsby Jr. Dentist 457 Highway 80 East, Clinton, MS 39056 2018-11-15
1225534530 Magnolia Allergy Clinic LLC Internal Medicine 402 Cynthia St Ste E, Clinton, MS 39056 2018-04-04
1578093704 Melinda A Weisenberger Specialist/Technologist 4600 W Northside Drive, Clinton, MS 39056 2017-06-20
1962859702 Telehealthone, LLC Nurse Practitioner 200 Clinton Plaza, Clinton, MS 39056 2016-05-23
1841686581 1st America Infusion Services LLC Durable Medical Equipment & Medical Supplies 132 Fairmont Street, Suite B, Clinton, MS 39056 2015-04-09
1023412822 Rebecca Brooks Prewitt Social Worker 130 B Fairmont Street, Clinton, MS 39056 2014-10-22
1396184149 Robert Joseph Hargis Urology 116 Afton Way, Clinton, MS 39056 2013-06-14
1750626321 Clinton Dental Care, Inc. Dentist 736 Clinton Pkwy, Clinton, MS 39056 2012-12-07
1922394469 Daphenia C. Knight Starling Nurse Practitioner Clinton Healthcare, 1251 Pinehaven Rd, Clinton, MS 39056 2011-06-23
1134443385 Gwendolyn Coleman Garror Pharmacist 132 Fairmount Drive, Clinton, MS 39056 2010-03-17
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578125837 Dana Fuller Family Medicine 600 Plaza Cir, Clinton, SC 29325-7555 2019-07-07
1477057966 Strong Health & Wellness Center, LLC Family Medicine 130 Fairmont St Ste B, Clinton, MS 39056-4714 2018-03-20
1841650348 St. Luke's Warren Physician Group, PC Family Medicine 22 Walmart Plaza, Clinton, NJ 08809 2016-02-26
1851762173 Olive Tree Medical Associates Pllc Family Medicine 7505 Foote Rd, Clinton, NY 13323-3403 2015-10-13
1356789341 Clinton Hmpn, LLC Family Medicine 129 S. 9th Street, Clinton, OK 73601 2013-06-12
1437458601 Sally A Goodwin Family Medicine 3677 Woodland Hall Ln, Clinton, WA 98236-8628 2011-03-27
1578886610 University Health System, Inc Family Medicine 2681 Andersonville Hwy, Ste 102, Clinton, TN 37716-6706 2010-03-03
1720313075 Eva Cesnek Novak Family Medicine 54 Old Route 22, Clinton, NJ 08809-4137 2009-10-05
1437388055 Scott Chasley Martin Family Medicine 732 Clinton Pkwy, Clinton, MS 39056-5227 2009-07-02
1053547919 Ebere N Ezeanya Family Medicine 37 Main St Ste 5, Clinton, NJ 08809-2609 2009-06-05
Find all providers in CLINTON

Competitor

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City CLINTON
Zip Code 39056

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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