Diversified Renal Group LLC in Jackson, MS
This organization bills under NPI 1184792038, an organization record issued on Nov 30, 2006 with the primary taxonomy Nephrology Physician. Each clinician who works there has their own NPI and license.
Organization recordNPPES, Aug 2026
1184792038
- Legal name
- Diversified Renal Group LLC
- Entity
- Type 2 · organization
- Primary taxonomy
- Nephrology Physician 207RN0300X
- Practice location
- 5903 RIDGEWOOD RD STE 340, Jackson, MS 39211
- Phone
- 601-899-3340
- Mailing address
- Ridgeland, MS
- Enumerated
- Nov 30, 2006
- Record updated
- Apr 25, 2008
- Authorized official
- Member (title as filed)
5 clinicians CMS lists with Diversified Renal Group in Jackson
- Gary Davis, MDNephrology Physician1912065251
- Hollye Johnson, MDNephrology Physician1700815321
- Kanieshia Mitchell, NPNurse Practitioner1629614003
- Babatunde Olutade, MDNephrology Physician1316050750
- James Onyirimba, MDNephrology Physician1720475783
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Checking an organization
- Confirm the business with the Mississippi secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
Common questions
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.