Individual provider Active NPI

Megan Lynn Washington, D.O.

  • Pediatrics Physician
  • Flowood, MS
National Provider Identifier
1144541970
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
24585 Issued in MS
Practice address
1020 River Oaks Dr
Ste 100
Flowood, MS 39232-9500
Phone
(601) 326-8700
Fax
(601) 936-2252
NPI assigned
Jun 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 24585 MS Primary

Addresses

Primary practice location

1020 River Oaks Dr
Ste 100
Flowood, MS 39232-9500

Mailing address

1020 River Oaks Dr
Ste 100
Flowood, MS 39232-9500
Phone (601) 326-8700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address megan.washington.1@4695.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, MS2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20140407000626 MO Practitioner - Pediatric Medicine 0941432983 Reassigns benefits to 1 organization
I20161115000769 MS Practitioner - Pediatric Medicine 0941432983 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24585MSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St Louis CurrentSince Feb 18, 2014 Accepting new patients
Gluckstadt TC Kids, LLC Pediatrics CurrentSince Aug 15, 2021 Accepting new patients
St. Anthony'S Physician Organization Past Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

300 Medical Plz
Ste 221
Lake St Louis, MO 63367
Phone (636) 561-2229

2963 Doddridge Ave
Maryland Hts, MO 63043
Phone (314) 291-3909

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

1651 W Government Cv
Brandon, MS 39042
Phone (601) 487-4340

101 Lexington Dr
Ste A
Gluckstadt, MS 39110
Phone (601) 427-5657

1073 Highway 51
Ste 101
Madison, MS 39110
Phone (601) 499-1840

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19538/brand/2/csg/1/fhir/r4
  • Direct secure messaging: megan.washington.1@19538.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19538/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1144541970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 RIVER OAKS DR",
            "address_2": "STE 100",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329500",
            "telephone_number": "601-326-8700",
            "fax_number": "601-936-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 RIVER OAKS DR",
            "address_2": "STE 100",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329500",
            "telephone_number": "601-326-8700",
            "fax_number": "601-936-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "MEGAN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "24585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "megan.washington.1@4695.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1020 River Oaks Dr",
            "address_2": "STE 100",
            "city": "Flowood",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392329500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.