Individual provider Active NPI

Kathleen A. Messenger, M.D.

  • Neurology Physician
  • Jackson, MS
National Provider Identifier
1174574701
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
19123 Issued in MS
Practice address
971 Lakeland Dr Ste 557
Jackson, MS 39216-4661
Phone
(601) 200-4560
Fax
(601) 200-4580
NPI assigned
May 16, 2006
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 19123 MS Primary

Addresses

Primary practice location

971 Lakeland Dr Ste 557
Jackson, MS 39216-4661

Mailing address

PO Box 23666
Jackson, MS 39225-3666
Phone (601) 200-4560

Other practice location 1

105 Asbury Cir
Suite A
Hattiesburg, MS 39402-1397
Phone (601) 296-3660

Other practice location 2

5001 Hardy St
Hattiesburg, MS 39402-1308
Phone (601) 268-8000

Other practice location 3

5003 Hardy St Ste 400
Hattiesburg, MS 39402
Phone (601) 296-3660

Other identifiers 1

IdentifierTypeStateIssuer
05982070MedicaidMS

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
I20061002000675 MS Practitioner - Neurology 4284637257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Tulane University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wesley Physician Services LLCGroup PAC ID 2466559851, 42 clinicians

Practice addresses (Care Compare)

5001 Hardy St
Hattiesburg, MS 39402-1308
Phone (601) 268-8155

5003 Hardy St
Hattiesburg, MS 39402-1331

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.09 of 100Reported as apm
Quality
73.43
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19123MSMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Dominic Medical Associates LLC CurrentSince Jul 1, 2016 Accepting new patients
St. Dominic Medical Associates LLC Neurology CurrentSince Jul 1, 2016 Accepting new patients
Wesley Physician Services LLC CurrentSince May 1, 2009 Accepting new patients
Neurology & Sleep Solutions LLC Neurology PastSince Jan 17, 2022 Accepting new patients
Neurological Specialists PC Neurology PastSince Jul 1, 2020 Accepting new patients

Locations

105 Asbury Cir
Ste A
Hattiesburg, MS 39402
Phone (601) 268-5222

5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000

5003 Hardy St
Ste 100
Hattiesburg, MS 39402
Phone (601) 296-3050

5003 Hardy St
Ste 400
Hattiesburg, MS 39402
Phone (601) 296-3660

971 Lakeland Dr
Ste 557
Jackson, MS 39216
Phone (601) 200-4560

106 Highland Way
Ste 202
Madison, MS 39110
Phone (601) 200-3376

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1930/brand/2/csg/102/fhir/r4
  • Direct secure messaging: kathleen.messenger.1@1930.direct.athenahealth.com
  • Direct secure messaging: kmessenger2546101@direct.casso.us.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1174574701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23666",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392253666",
            "telephone_number": "601-200-4560",
            "fax_number": "601-200-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR STE 557",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164661",
            "telephone_number": "601-200-4560",
            "fax_number": "601-200-4580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Asbury Cir",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394021397",
            "country_code": "US",
            "telephone_number": "601-296-3660",
            "fax_number": "601-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5001 Hardy St",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394021308",
            "country_code": "US",
            "telephone_number": "601-268-8000",
            "fax_number": "601-268-8502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5003 Hardy St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "39402",
            "country_code": "US",
            "telephone_number": "601-296-3660",
            "fax_number": "601-296-3667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESSENGER",
        "first_name": "KATHLEEN",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": "19123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05982070",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.