McFatter Family Medical, LLC
Clinic/Center, Urgent Care in Ridgeland, MS. Organization (NPI-2).
NPI number1811660293
StatusActive
Last updated in NPPESOct 26, 2023
Details
- NPI
- 1811660293
- Entity type
- Organization (NPI-2)
- Legal business name
- McFatter Family Medical, LLC
- Organization subpart
- No
- Enumeration date
- Jul 30, 2021
- Certification date
- Oct 26, 2023
- Last updated
- Oct 26, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | – | – | Yes |
| 261QP2300X | Clinic/Center, Primary Care | – | – |
Practice location
710 Highland Colony Pkwy Ste ARidgeland, MS 39157-8701
Phone 601-398-9886 · Fax 601-398-9885
Mailing address
305 Covington CvMadison, MS 39110-4581
Phone 601-398-9886
Authorized official
Daniel Hurley McFatter
Owner
6013989886
Is something wrong?
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