Individual provider Active NPI

Alexis Catherine Meadors

  • Psychiatry Physician
  • Jackson, MS
National Provider Identifier
1063155323
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
33528 Issued in MS
Practice address
3732 Greenwich St
Jackson, MS 39216-3609
Phone
(228) 217-1005
NPI assigned
Apr 15, 2022
Last updated
Jan 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 33528 MS Primary

Addresses

Primary practice location

3732 Greenwich St
Jackson, MS 39216-3609

Mailing address

3732 Greenwich St
Jackson, MS 39216-3609

Other practice location 1

1225 N State St
Jackson, MS 39202-2064
Phone (601) 968-1031

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
I20240903004373 MS Practitioner - Psychiatry 7618416702 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Mississippi School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singing River Health SystemGroup PAC ID 3870405194, 290 clinicians

Practice addresses (Care Compare)

4502 LT Eugene J Majure Dr
Coastal Ambulatory Services
Pascagoula, MS 39581-5305
Phone (228) 696-9224

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Health System CurrentSince Jul 10, 2024 Accepting new patients
Medical Foundation of Central Ms CurrentSince Jan 1, 2026 Accepting new patients
Medical Foundation of Central Mississippi, Inc. CurrentSince Jan 1, 2026 Accepting new patients

Locations

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000

4502 Lt Eugene J Majure Dr
Pascagoula, MS 39581
Phone (228) 696-9224

Networks

  • LA PPO C-SNP

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1063155323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 GREENWICH ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392163609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3732 GREENWICH ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392163609",
            "telephone_number": "228-217-1005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022064",
            "country_code": "US",
            "telephone_number": "601-968-1031",
            "fax_number": "601-292-4520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEADORS",
        "first_name": "ALEXIS",
        "middle_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "33528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.