Individual provider Active NPI

Larry J. Meyers, MD

  • Anesthesiology Physician
  • Vicksburg, MS
National Provider Identifier
1144200387
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
19387 Issued in MS
Practice address
2100 Highway 61 N
Vicksburg, MS 39183-8211
Phone
(601) 883-5000
NPI assigned
Jan 21, 2006
Last updated
Sep 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X C-6923 AR
Anesthesiology Physician 207L00000X 19387 MS Primary

Addresses

Primary practice location

2100 Highway 61 N
Vicksburg, MS 39183-8211

Mailing address

2100 Highway 61 N
Vicksburg, MS 39183-8211
Phone (601) 883-5000

Other identifiers 3

IdentifierTypeStateIssuer
111182001MedicaidAR
09851064MedicaidMS
5M969OtherARBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, ME, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20050322000841 GA Practitioner - Anesthesiology 5991600926 Reassigns benefits to 2 organizations
I20201103002563 ME Practitioner - Anesthesiology 5991600926 Reassigns benefits to 1 organization
I20230807002937 FL Practitioner - Gastroenterology 5991600926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Arkansas College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Florida Anesthesia Associates LLCGroup PAC ID 7517231186, 43 clinicians

Practice addresses (Care Compare)

63 Barkley Cir
Suite 104
Fort Myers, FL 33907-4514
Phone (239) 275-8452

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Jul 1, 2023 Accepting new patients
Gi Anesthesia of Georgia LLC Anesthesiology CurrentSince Dec 29, 2021 Accepting new patients
Coastal Ambulatory Anesthesia LLC Anesthesiology CurrentSince Feb 17, 2022 Accepting new patients
City of Caribou CurrentSince Jul 2, 2020 Accepting new patients
West Florida Anesthesia Associates LLC Anesthesiology CurrentSince Jul 1, 2023 Accepting new patients
Wood Anesthesia & Pain Treatment, LLC Anesthesiology Past Accepting new patients
Amsol Physicians of Columbus Ga LLC Anesthesiology Past Accepting new patients
Hutcheson Anesthesia & Pain Treatment, LLC Anesthesiology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Licking Memorial Professional Corporation Anesthesiology Past Accepting new patients
Baptist Memorial Hospital-Jonesboro Inc Past Accepting new patients
Aroostook Mental Health Services, Inc. Past Accepting new patients
Amsol Physicians of Columbus Ga Anesthesiology Past Accepting new patients
Lima Anesthesia & Pain Treatment Professional Corporation Anesthesiology Past Accepting new patients
Delta Regional Anesthesiology Group Anesthesiology Past Accepting new patients
Northeast Arkansas Health System LLC Past Accepting new patients
Ashland Hospital Corporation Past Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

63 Barkley Cir
Ste 104
Fort Myers, FL 33907
Phone (239) 275-8452

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

1084 Goodlette Rd
Naples, FL 34102
Phone (239) 435-9330

1265 Highway 54 W
Ste 401
Fayetteville, GA 30214
Phone (678) 617-6505

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

301 Philip Blvd
Ste B
Lawrenceville, GA 30046
Phone (770) 682-7220

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

163 Van Buren Rd
Ste 1
Caribou, ME 04736
Phone (207) 498-1227

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1137801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1144200387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 HIGHWAY 61 N",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391838211",
            "telephone_number": "601-883-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 HIGHWAY 61 N",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391838211",
            "telephone_number": "601-883-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "LARRY",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-21",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "AR",
            "license": "C-6923",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MS",
            "license": "19387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111182001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09851064",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5M969",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

Verify at the official NPI Registry.