Individual provider Active NPI

Chadley T Vega, M.D.

  • Family Medicine Physician
  • Meridian, MS
National Provider Identifier
1033196605
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16878 Issued in MS
Practice address
2124 14TH St
Meridian, MS 39301-4040
Phone
(601) 553-6000
NPI assigned
Dec 27, 2005
Last updated
Jun 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 16878 MS
Family Medicine Physician 207Q00000X 16878 MS Primary

Addresses

Primary practice location

2124 14TH St
Meridian, MS 39301-4040

Mailing address

2124 14TH St
Meridian, MS 39301-4040
Phone (601) 553-6000

Other identifiers 1

IdentifierTypeStateIssuer
00122454MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chadley_vega@teamhealth.com Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040621000617 MS Practitioner - Family PracticePractitioner - Emergency Medicine 7113902578 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quad Intermed Company LLCGroup PAC ID 6709245954, 42 clinicians

Practice addresses (Care Compare)

1515 Jefferson St
Laurel, MS 39440-4244
Phone (601) 425-4893

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16878MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dobbs Emergency Group, LLC Emergency Medicine CurrentSince Dec 3, 2019 Accepting new patients
Quad Intermed Company LLC CurrentSince Aug 1, 2023 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Jan 1, 2014 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jan 15, 2013 Accepting new patients
Pontotoc Health Services, Inc. CurrentSince Jul 1, 2013 Accepting new patients
Quad Intermed Company LLC CurrentSince Aug 1, 2023 Accepting new patients
Pontotoc Health Services, Inc. CurrentSince Jul 1, 2013 Accepting new patients
Quad Intermed Company LLC Past Accepting new patients
United Emergency Services, Inc. Emergency Medicine Past Accepting new patients
McLemore Emergency Physicians Emergency Medicine PastSince Dec 18, 2007 Accepting new patients
Columbus Emergency Services, LLC Emergency Medicine Past Accepting new patients
Joel T Callahan Thomas H Greer Jr & a Gary Boone PTR Past Accepting new patients

Locations

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

498 Highway 80 E
Clinton, MS 39056
Phone (601) 200-4800

1515 Jefferson St
Laurel, MS 39440
Phone (601) 425-4893

342 Gilchrist Dr
Pearl, MS 39208
Phone (601) 939-0700

176 S Main St
Pontotoc, MS 38863
Phone (601) 489-5510

308 Corporate Dr
Ridgeland, MS 39157
Phone (601) 898-7500

140 Burke Calhoun City Rd
Slate Spring, MS 38916
Phone (662) 628-6611

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

4204 Clay St
Vicksburg, MS 39183
Phone (601) 200-4560

4204 Clay St
#V
Vicksburg, MS 39183
Phone (601) 619-7717

409 Tyler Holmes Dr
Winona, MS 38967
Phone (662) 283-3060

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: chadley_vega@teamhealth.com
  • Direct secure messaging: cvega2548890@direct.casso.us.com

Organizations & group practices 12

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1033196605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 14TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014040",
            "telephone_number": "601-553-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 14TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014040",
            "telephone_number": "601-553-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "CHADLEY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "16878",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "16878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00122454",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chadley_vega@teamhealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2124 14th St",
            "city": "Meridian",
            "state": "MS",
            "country_code": "US",
            "postal_code": "393014040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.