Fresenius Medical Care Meridian Home, LLC
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Meridian, MS
NPI 1013535780 · NPPES record last updated Aug 26, 2026
Key facts
- NPI
- 1013535780
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- FRESENIUS MEDICAL CARE MERIDIAN HOME, LLC
- Practice address
- 2400 15TH St
Meridian, MS 39301-3951 - Phone
- (601) 282-2364
- Fax
- (601) 453-9011
- NPI assigned
- Jul 9, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
- Name
- Denise Wright
- Title
- Vice President
- Phone
- (781) 676-5200
Member of 1
Affiliated clinicians 4
-
Robert E Clark, M.D.
-
Otis Gowdy Jr., M.D.
-
Randall D Hicks, M.D.
-
Alisha Smith Parker, D.O.
Medicare Care Compare: Dialysis facility
- Listed as
- FKC Meridian Home
- Overall star rating
- ★★☆☆☆ 2.0 of 5
- Ownership
- Profit
- Certified
- Dec 22, 2020
- Medicare certification status
- Active
- Chain
- Fresenius Medical Care
- Dialysis stations
- 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2195529 | Fresenius Kidney Care Meridian Home | Certificate of waiver | Oct 8, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201118000791 | MS | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 0143631481 | Practice locations: Meridian, MS |
National Provider Directory
Locations
2400 15th St
Meridian, MS 39301
Phone (601) 282-2364
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
2400 15TH St
Meridian, MS 39301-3951
Mailing address
2400 15TH St
Meridian, MS 39301-3951
Phone (601) 282-2364
Other names
- FRESENIUS KIDNEY CARE MERIDIAN HOME
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
Other providers in Meridian, MS
- Theresa Franklin
- Freds Pharmacy of Quitman LLC
- Jeanne S Freeman
- Jenna Freeman
- Terry M French
- Ronit N Frey
- Donna Delynn Fries
- Danny Thomas Fritts
- Whitney Lain Fuller
- Davis Thomas Fulton
All providers in Meridian, MS · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.