NPI 1164166336

Chad Montgomery Ross, MD

Practitioner Family Medicine Physician Southaven, MS

Practice location

Address: 7736 Airways Blvd, Southaven, MS 38671-5306
Phone: (662) 772-3700
Fax: (662) 772-3719
Mailing address: 350 N Humphreys Blvd, Memphis, TN 38120-2177

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 35291 (MS)

Other Family Medicine providers in Mississippi →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 74370 (TN)

Registry record

NPI: 1164166336
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Apr 2022
Record last updated: 4 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.