DR. RIDGELAND CLAY DABBS (DO) – Family Medicine Physician, NPI 1104440544

DR. RIDGELAND CLAY DABBS (DO) is a healthcare provider. based in Tupelo, Mississippi. specializing in EMERGENCY MEDICINE, FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 29209 (MS). The NPI Number for DR. RIDGELAND CLAY DABBS (DO) is 1104440544

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. RIDGELAND CLAY DABBS (DO)
NPI
1104440544
Phone
(662) 377-2189
Address
1665 S GREEN ST
Enumeration Date
2 June 2020
Last Update Date
19 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6624952300
Graduation Year
2020 (6 years ago)
PAC ID
5890110357
Group Practice PAC ID
0042648594
Professional Enrollment ID
I20211011001276
Address ID
MS397730428WE150XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

587 EMERGENCY MEDICINE in MS

Provider Addresses for DR. RIDGELAND CLAY DABBS (DO)

  • 1665 S GREEN ST

    TUPELO, MS 388046556

    Phone: (662) 377-2189

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $204.

Total Amount is formed as General ($204) + Research ($0) + Ownership ($0) = $204.

Last reported payment date: 2024-08-05 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($177).

Total Amount

$204

General + Research + Ownership

Payments

3

Total payment records

General Amount

$204

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211011001276IFamily PracticeMSTBD
I20240212004107IEmergency MedicineMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making7572$0
99284Emergency department visit with moderate level of medical decision making3130$0
99291Critical care, first 30-74 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 38804)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042648594View full group profile
NameSpecialtyState
Family PracticeMS
Emergency MedicineMS
Emergency Medicine, Internal Medicine, Emergency MedicineIL
Family Practice, Emergency MedicineAL
Emergency Medicine, Family PracticeMO
Emergency Medicine, General Practice, Internal MedicineMS
Family PracticeMS
Family Practice, Emergency MedicineWA
-CA
-MS

Reviews

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Frequently asked questions

Is DR. RIDGELAND CLAY DABBS (DO) listed with a National Provider Identifier?
Yes — DR. RIDGELAND CLAY DABBS (DO) has NPI 1104440544 on file in the registry.
Would DR. RIDGELAND CLAY DABBS (DO) appear as active to a payer?
You can treat DR. RIDGELAND CLAY DABBS (DO) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. RIDGELAND CLAY DABBS (DO)?
DR. RIDGELAND CLAY DABBS (DO) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. RIDGELAND CLAY DABBS (DO) located near Tupelo?
DR. RIDGELAND CLAY DABBS (DO) currently maps to Tupelo, Mississippi in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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