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

Raven Suzanne Ladner, MD

Individual provider Family Medicine Physician · NPI 1740549781

Raven Suzanne Ladner, MD is a Family Practice in Byram, Mississippi. Qualified in 2012, 14 years ago. Practices with Medical Foundation of Central Mississippi Inc, a 273-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
14
Licensed in
MS
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7275 S Siwell Rd
Byram, MS 39272-9767
Phone: (601) 373-7722
Fax: (601) 373-7378
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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 · Licence 23900 (MS)

Record details

NPI number1740549781
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 11, 2012
Last updated in NPPESJanuary 8, 2020
Certification dateJanuary 8, 2020
Mailing address965 Ridge Lake Blvd Ste 103, Memphis, TN 38120-9446

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Medical Foundation Of Central Mississippi Inc — 273 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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