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

Robert Crockett Enterprise LLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1114201423

Robert Crockett Enterprise LLC is a Foot & Ankle Surgery Podiatrist in Meridian, Mississippi. Licensed in Mississippi. Registered with an NPI since 2011.

Licensed in
MS
In the registry since
2011
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

2310 4th St Ste A
Meridian, MS 39301-5819
Phone: (601) 286-3745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 80193 (MS)

Record details

NPI number1114201423
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Crockett — Member · (601) 286-3745
Other names Magnolia Dme
NPI enumeratedOctober 5, 2011
Last updated in NPPESOctober 5, 2011
Mailing address2310 4th St, Suite A, Meridian, MS 39301-5819

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