Duddleston Management, LLC

Duddleston Management, LLC is a healthcare organization registered as Internal Medicine Physician in Jackson, MS, holding Type 2 (organization) NPI 1154876290 since 2016. The authorized official on file is David Duddleston, Owner.

✓ Active NPI ✓ Valid NPI checksum

NPI	1154876290
Entity type	Organization (Type 2)
Legal business name	Duddleston Management, LLC
Practice address	1116 FOREST AVE, Jackson, MS, 39206
Phone	6012911993
Enumeration date	2016-08-18
Last updated in NPPES	2016-08-18

Authorized official

Name	David Duddleston
Title	Owner
Phone	6012911993

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
207R00000X	Internal Medicine Physician	Primary	—	—

Copy-ready billing details

Provider: Duddleston Management, LLC
NPI: 1154876290
Taxonomy: 207R00000X (Internal Medicine Physician)
Address: 1116 FOREST AVE, Jackson, MS, 39206

Providers at this address

NPI	Name	Type	Specialty	Location
1326197211	Cottage Grove Nursing Home, Lp	Organization	Skilled Nursing Facility	Jackson, MS
1760934707	Dudley Medical Services, LLC	Organization	Family Medicine Physician	Jackson, MS
1669917068	Internal Medicine Clinic of Canton, Inc	Organization	Internal Medicine Physician	Jackson, MS
1396213492	Forest Avenue Opco, LLC	Organization	Skilled Nursing Facility	Jackson, MS

Verify this record

Cross-check NPI 1154876290 against the authoritative CMS record: view Duddleston Management, 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

Where is Duddleston Management, LLC located?

The practice location on file with NPPES is in Jackson, MS.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-08-18. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-08-18.