Individual provider Active NPI

Elizabeth Vereen Farrar, MD

  • Family Medicine Physician
  • Meridian, MS
National Provider Identifier
1174569578
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19326 Issued in MS
Practice address
2800 N Hills St
Meridian, MS 39305-2643
Phone
(601) 693-9906
Fax
(601) 484-6704
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19326 MS Primary

Addresses

Primary practice location

2800 N Hills St
Meridian, MS 39305-2643

Mailing address

PO Box 5183
Meridian, MS 39302-5183
Phone (601) 703-4282

Other identifiers 2

IdentifierTypeStateIssuer
08379802MedicaidMS
P00326409OtherMSRR MEDICARE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060906000195 MS Practitioner - Family Practice 7618971615 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19326MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Foundation, Inc. Family Medicine CurrentSince Jul 14, 2008 Accepting new patients
Medical Foundation, Inc. CurrentSince Jul 14, 2008 Accepting new patients
Washington County Healthcare Authority, Inc Past Accepting new patients

Locations

2800 N Hills St
Meridian, MS 39305
Phone (601) 693-9906

2401 16th St
Meridian, MS 39301
Phone (601) 482-4181

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1174569578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5183",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393025183",
            "telephone_number": "601-703-4282",
            "fax_number": "601-703-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N HILLS ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393052643",
            "telephone_number": "601-693-9906",
            "fax_number": "601-484-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRAR",
        "first_name": "ELIZABETH",
        "middle_name": "VEREEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "19326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08379802",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00326409",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.