Courtney Elizabeth Meredith, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

21437 Issued in MS

Practice address

147 Reynoir St
Suite 105
Biloxi, MS 39530-4109

Phone

(228) 436-6658

NPI assigned

Jul 18, 2007

Last updated

Jul 21, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• University of South Alabama Health Care Authority

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1508392432
  Medicare reassignment NPD

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1114127222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 REYNOIR ST",
            "address_2": "SUITE 105",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395304109",
            "telephone_number": "228-436-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 REYNOIR ST",
            "address_2": "SUITE 105",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395304109",
            "telephone_number": "228-436-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "COURTNEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "21437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R9499",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Memorial Hospital at Gulfport (Physicians Clinic at MHG)
• Memorial Hospital at Gulfport (Physicians Clinic at MHG)
• Memorial Hospital at Gulfport (Physicians Clinic at MHG)
• Memorial Hospital at Gulfport
• Memorial Hospital at Gulfport (Physicans Clinic at MHG)
• Metro Treatment of Mississippi LP (Biloxi Treatment Center)
• Michael Diaz MD PC
• Shelia Denise Mickle, AGNP-C
• Mid-South Home Care Services, LLC (Memorial-Gentiva Palliative Care Program)
• Lydia F Middlekauff, CTRS

• Obstetrics & Gynecology Physician in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Obstetrics & Gynecology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.