Individual provider Active NPI

Meredith Patton Hartline, FNP

  • Family Nurse Practitioner
  • Starkville, MS
National Provider Identifier
1114111978
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R899737 Issued in MS
Practice address
500 Russell St Ste 3
Starkville, MS 39759-5411
Phone
(662) 324-2244
Fax
(662) 324-2295
NPI assigned
Sep 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 734342 TX
Family Nurse Practitioner 363LF0000X R899737 MS Primary

Addresses

Primary practice location

500 Russell St Ste 3
Starkville, MS 39759-5411

Mailing address

30 Burton Hills Blvd
Nashville, TN 37215-6403
Phone (615) 988-2014

Other identifiers 1

IdentifierTypeStateIssuer
2014789-01MedicaidTX

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
I20151005001334 MS Practitioner - Nurse Practitioner 3375600273 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Convenient Care Clinic, LLC Family CurrentSince Oct 9, 2015 Accepting new patients
Golden Triangle Urgent Care LLC Family CurrentSince Sep 3, 2015 Accepting new patients
Convenient Care Clinic, LLC Family CurrentSince Oct 9, 2015 Accepting new patients
Golden Triangle Urgent Care LLC Family CurrentSince Sep 3, 2015 Accepting new patients
Urgent Team Management of Golden Triangle, LLC Past Accepting new patients

Locations

555 Highway 6 E
Batesville, MS 38606
Phone (662) 578-2030

1503 Highway 45 N
Columbus, MS 39705
Phone (601) 328-9623

500 Russell St
Ste 3
Starkville, MS 39759
Phone (662) 324-2244

Organizations & group practices 5

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": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1114111978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BURTON HILLS BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156403",
            "telephone_number": "615-988-2014",
            "fax_number": "615-523-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RUSSELL ST STE 3",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397595411",
            "telephone_number": "662-324-2244",
            "fax_number": "662-324-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLINE",
        "first_name": "MEREDITH",
        "middle_name": "PATTON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "734342",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R899737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2014789-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.