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

Pine Ridge Family Clinic, LLC

Organization Nurse Practitioner · NPI 1366075236

Pine Ridge Family Clinic, LLC is a Nurse Practitioner in Collins, Mississippi. Registered with an NPI since 2020.

In the registry since
2020
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

3248 Highway 49
Collins, MS 39428
Phone: (601) 800-8580
Fax: (601) 800-8583
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1366075236
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marlana Hedgepeth — Owner · (601) 765-6834
NPI enumeratedFebruary 19, 2020
Last updated in NPPESJuly 13, 2020
Certification dateJuly 13, 2020
Mailing addressPo Box 177, Ellisville, MS 39437-0177

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