| Baptist Anderson Family Medical Center-meridian | |
|
1523 22nd Ave Ste B Meridian MS 39301-4016 | |
| (601) 703-8450 | |
| (601) 703-8459 |
| Full Name | Baptist Anderson Family Medical Center-meridian |
|---|---|
| Speciality | Clinic/Center |
| Location | 1523 22nd Ave Ste B, Meridian, Mississippi |
| Authorized Official Name and Position | Gregory M Duckett (SR VP / CLO) |
| Authorized Official Contact | 9012275233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Anderson Family Medical Center-meridian 2124 14th St Meridian MS 39301-4040 Ph: (601) 703-3480 | Baptist Anderson Family Medical Center-meridian 1523 22nd Ave Ste B Meridian MS 39301-4016 Ph: (601) 703-8450 |
| NPI Number | 1710352356 |
|---|---|
| Provider Enumeration Date | 12/08/2015 |
| Last Update Date | 08/16/2024 |
| Medicare PECOS PAC ID | 4284548025 |
|---|---|
| Medicare Enrollment ID | O20170215001298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710352356 | NPI | - | NPPES |
| 209283 | Medicaid | AL | |
| 555935 | Other | MS | MEDICARE |
| 03651367 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Karen Deese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013296052 PECOS PAC ID: 8527337732 Enrollment ID: I20170703000445 |
| Provider Name | Hannah Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588194708 PECOS PAC ID: 1658641782 Enrollment ID: I20170724001699 |
| Provider Name | Erica Clanahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831619626 PECOS PAC ID: 7719221779 Enrollment ID: I20181130002263 |
| Provider Name | Jessica C Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750846473 PECOS PAC ID: 0749520260 Enrollment ID: I20190320001793 |
| Provider Name | Lekica R Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023624467 PECOS PAC ID: 8426467408 Enrollment ID: I20210503002491 |
Greater Meridian Health Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118 Fax: 844-778-8922 | |
East Ms State Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4555 Highland Park Dr, Meridian, MS 39307 Phone: 601-481-1135 Fax: 601-581-7676 | |
Ochsner Health Center- Hwy 19 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 Highway 19 N, Meridian, MS 39307 Phone: 601-483-5353 Fax: 601-696-3231 | |
Greater Meridian Health Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118 Fax: 844-778-8922 | |
Anderson Infectious Disease Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 20th St, Meridian, MS 39301 Phone: 601-553-6361 Fax: 601-484-5384 | |
Primary Medical Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Highway 39 N, Meridian, MS 39301 Phone: 601-646-0898 | |
Gmhc, Inc./mpsd G W Carver Community School Base Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 44th Ave, Meridian, MS 39307 Phone: 601-693-0118 Fax: 844-778-8922 |