Individual provider Active NPI

Megan M Harrison, APN

  • Nurse Practitioner
  • New Albany, MS
National Provider Identifier
1164504890
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R863881 Issued in MS
Practice address
210 Hwy 30 W
New Albany, MS 38652-3112
Phone
(662) 539-7014
Fax
(662) 314-9501
NPI assigned
Oct 20, 2006
Last updated
Sep 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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 R863881 MS
Nurse Practitioner 363L00000X R863881 MS Primary

Addresses

Primary practice location

210 Hwy 30 W
New Albany, MS 38652-3112

Mailing address

PO Box 405827
Atlanta, GA 30384-5827
Phone (901) 227-4068

Other identifiers 2

IdentifierTypeStateIssuer
020700026OtherMSTAX ID
03756231MedicaidMS

Other names 1

  • Megan M Hoooker Former name

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
I20061215000297 MS Practitioner - Nurse Practitioner 2062411200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Megmed HealthGroup PAC ID 5698077147, 2 clinicians

Practice addresses (Care Compare)

210 Hwy 30 W
New Albany, MS 38652-3112
Phone (662) 539-7014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R863881MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Megmed Health Nurse Practitioner CurrentSince Jan 1, 2016 Accepting new patients
The Wren Clinic, PC Past Accepting new patients
Paragon Contracting Services LLC Nurse Practitioner Past Accepting new patients

Locations

210 State Highway 30 W
New Albany, MS 38652
Phone (662) 507-3330

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1164504890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405827",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845827",
            "telephone_number": "901-227-4068",
            "fax_number": "901-227-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 HWY 30 W",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523112",
            "telephone_number": "662-539-7014",
            "fax_number": "662-314-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "MEGAN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R863881",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R863881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "020700026",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03756231",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "HOOOKER",
            "middle_name": "M",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Albany, MS

Sources for this page

Verify at the official NPI Registry.