Individual provider Active NPI

Mattie P Hopson, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Meridian, MS
National Provider Identifier
1003657404
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
906686 Issued in MS
Practice address
2701 Davis St
Meridian, MS 39301-5708
Phone
(601) 693-0118
NPI assigned
Jun 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 906686 MS Primary

Addresses

Primary practice location

2701 Davis St
Meridian, MS 39301-5708

Mailing address

2701 Davis St
Meridian, MS 39301-5708
Phone (601) 693-0118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241104000341 MS Practitioner - Nurse Practitioner 0345773032 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Meridian Health Clinic, Inc. CurrentSince Oct 22, 2024 Accepting new patients
Greater Meridian Health Clinic, Inc CurrentSince Oct 22, 2024 Accepting new patients
Greater Meridian Health Clinic, Inc. Current Accepting new patients
Greater Meridian Health Clinic, Inc. Past Accepting new patients

Locations

2701 Davis St
Meridian, MS 39301
Phone (601) 693-0118

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJDBBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EJDBBA/Endpoint/EJDBBA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1003657404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 DAVIS ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393015708",
            "telephone_number": "601-693-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 DAVIS ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393015708",
            "telephone_number": "601-693-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPSON",
        "first_name": "MATTIE",
        "middle_name": "P",
        "name_prefix": "Miss",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.