MEDICARE: RCG MISSISSIPPI, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center		MS

General Provider Information

NPI Number	:	1437586153
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RCG MISSISSIPPI, INC.

Provider Business Mailing Address
First Line	:	139 N BROOKMOORE DR
Second Line	:
City	:	COLUMBUS
State	:	MS
Zip	:	39705-2024
Country	:	US
Telephone Number	:	662-328-4440
Fax Number	:	662-327-2178

Provider Business Practice Location Address
First Line	:	139 N BROOKMOORE DR
Second Line	:
City	:	COLUMBUS
State	:	MS
Zip	:	39705-2024
Country	:	US
Telephone Number	:	662-328-4440
Fax Number	:	662-327-2178

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	BARRY L. BLANTON
Credential	:
Telephone Number	:	781-699-9000

Provider Enumeration Date	:	09/27/2013
Last Update Date	:	10/18/2023

Similar Medicare Providers

1649226317 — CHRISTOPHER JOSEPH LEBRUN M.D.
Practice Location Address:

129 N BROOKMOORE DR
COLUMBUS, MS
39705-2024

Practice Phone: 662-329-3838
Practice Fax: 662-329-2515

1811944432 — NEPHROLOGY ASSOCIATES, PC
Practice Location Address:

129 N BROOKMOORE DR
COLUMBUS, MS
39705-2024

Practice Phone: 662-329-3838
Practice Fax: 662-329-2515

1376584912 — THOMAS JASON DUNN D.O.
Practice Location Address:

129 N BROOKMOORE DR
COLUMBUS, MS
39705-2024

Practice Phone: 662-329-3838
Practice Fax: 662-329-2515

1972655223 — HOME-MED EQUIPMENT INC
Practice Location Address:

199 BROOKMOORE DR.
COLUMBUS, MS
39705-2024

Practice Phone: 662-328-6865
Practice Fax: 662-328-6896

1518371970 — DRAYER PHYSICAL THERAPY MISSISSIPPI LLC
Practice Location Address:

199 N BROOKMOORE DR
COLUMBUS, MS
39705-2024

Practice Phone: 662-328-4542
Practice Fax: 662-328-4783

1336699578 — JENNA MORDECAI FNP-C
Practice Location Address:

129 N BROOKMOORE DR
COLUMBUS, MS
39705-2024

Practice Phone: 662-329-3838
Practice Fax: 662-329-2515

Directions to “RCG MISSISSIPPI, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.