Individual provider Active NPI

Samuel G. Meredith, MD

  • Orthopaedic Surgery Physician
  • Marion, AR
National Provider Identifier
1013956325
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
R3027 Issued in AR
Practice address
1231 State Highway 77 Ste 2
Marion, AR 72364-9045
Phone
(870) 735-4400
Fax
(870) 735-4412
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X R3027 AR Primary

Addresses

Primary practice location

1231 State Highway 77 Ste 2
Marion, AR 72364-9045

Mailing address

1231 State Highway 77 Ste 2
Marion, AR 72364-9045
Phone (870) 735-4400

Other identifiers 1

IdentifierTypeStateIssuer
101992001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040616001245 AR Practitioner - Orthopedic Surgery 4688658677 Practice locations: Marion, AR
I20090108000137 MS Practitioner - Orthopedic Surgery 4688658677 Practice locations: Ripley, MS

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Tennessee, HSC, College of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1229 State Hwy 77
Suite 1
Marion, AR 72364-9050
Phone (870) 735-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Orthopedic Hospitalists LLC Orthopaedic Surgery Past Accepting new patients

Organizations & group practices 1

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1013956325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 STATE HIGHWAY 77 STE 2",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723649045",
            "telephone_number": "870-735-4400",
            "fax_number": "870-735-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 STATE HIGHWAY 77 STE 2",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723649045",
            "telephone_number": "870-735-4400",
            "fax_number": "870-735-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "SAMUEL",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AR",
            "license": "R3027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101992001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, AR

Sources for this page

Verify at the official NPI Registry.