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

South Ridge Family Clinic, LLC

Organization Family Medicine Physician · NPI 1881930469

South Ridge Family Clinic, LLC is a Family Medicine Physician in Ellisville, Mississippi. Registered with an NPI since 2012.

In the registry since
2012
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

80 Hal Crocker Rd
Ellisville, MS 39437-2089
Phone: (601) 477-2221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1881930469
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marlana Hedgepeth — Owner · (601) 477-2221
NPI enumeratedDecember 31, 2012
Last updated in NPPESDecember 31, 2012
Mailing address80 Hal Crocker Rd, Ellisville, MS 39437-2089

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