Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Diversified Renal Group LLC

Organization Nephrology Physician · NPI 1184792038

Diversified Renal Group LLC is a Nephrology Physician in Jackson, Mississippi. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5903 Ridgewood Rd Ste 340
Jackson, MS 39211
Phone: (601) 899-3340
Fax: (601) 899-3343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1184792038
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Davis — Member · (601) 899-3340
NPI enumeratedNovember 30, 2006
Last updated in NPPESApril 25, 2008
Mailing addressPo Box 2057, Ridgeland, MS 39158

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