Robert Crockett Enterprise LLC
Robert Crockett Enterprise LLC is a healthcare organization registered as Foot & Ankle Surgery Podiatrist in Meridian, MS, holding Type 2 (organization) NPI 1114201423 since 2011. The authorized official on file is Robert Crockett, Member.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114201423 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Robert Crockett Enterprise LLC |
| Other name | <Unavail> |
| Practice address | 2310 4TH ST, SUITE A, Meridian, MS, 39301 |
| Phone | 6012863745 |
| Enumeration date | 2011-10-05 |
| Last updated in NPPES | 2011-10-05 |
Authorized official
| Name | Robert Crockett |
|---|---|
| Title | Member |
| Phone | 6012863745 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 213ES0103X | Foot & Ankle Surgery Podiatrist | Primary | 80193 | MS |
Copy-ready billing details
Provider: Robert Crockett Enterprise LLC NPI: 1114201423 Taxonomy: 213ES0103X (Foot & Ankle Surgery Podiatrist) Address: 2310 4TH ST, SUITE A, Meridian, MS, 39301
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1699070326 | Magnolia Foot Clinic LLC | Organization | Foot & Ankle Surgery Podiatrist | Meridian, MS |
Verify this record
Cross-check NPI 1114201423 against the authoritative CMS record: view Robert Crockett Enterprise LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Robert Crockett Enterprise LLC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-10-05.