DR. CARL M REDDIX M.D. NPI 1619981107

NPI Information

NPI: 1619981107
Provider Name: DR. CARL M REDDIX, M.D.
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

Address:
5903 RIDGEWOOD ROAD, SUITE 310
REDDIX MEDICAL GROUP
JACKSON, MS
ZIP 39211
Phone: (601) 899-3310
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DR. Carl M Reddix, M.D. is a gynecology obstetrics gynecology in Jackson, MS. DR. Carl M Reddix, M.D. NPI is 1619981107. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5903 RIDGEWOOD ROAD, SUITE 310
REDDIX MEDICAL GROUP
JACKSON, MS
ZIP 39211-702
Phone: (601) 899-3310
Fax: (601) 899-3314

The enumeration date for this NPI number is 7/28/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	12068	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	E07629	MEDICARE UPIN	MISSISSIPPI
2	00011019	MEDICAID	MISSISSIPPI
3	160000179	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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