Individual provider Active NPI

Melissa E Sanders, DO

  • Family Medicine Physician
  • Pearl, MS
National Provider Identifier
1184156804
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28032 Issued in MS
Practice address
110 S Pearson Rd
Pearl, MS 39208-5635
Phone
(601) 968-1237
Fax
(601) 968-1246
NPI assigned
Mar 31, 2017
Last updated
May 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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 28032 MS Primary

Addresses

Primary practice location

110 S Pearson Rd
Pearl, MS 39208-5635

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446

Other practice location 1

2466 Flowood Dr
Flowood, MS 39232-9019
Phone (601) 815-5700

Other practice location 2

1201 Highway 49 S Ste 1
Richland, MS 39218-9438
Phone (601) 973-1576

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
I20200824003175 MS Practitioner - Family Practice 9537439625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
William Carey University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

110 S Pearson Rd
Pearl, MS 39208-5635
Phone (601) 968-1237

1225 N State St
Jackson, MS 39202-2064
Phone (601) 292-4261

401 Baptist Dr
Suite 104
Madison, MS 39110-2010
Phone (601) 973-1504

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.38 of 100Reported as group
Quality
54.22
Promoting interoperability
100
Improvement activities
40
Cost
73.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28032MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Foundation of Central Ms Family Medicine CurrentSince Aug 11, 2020 Accepting new patients
Medical Foundation of Central Mississippi, Inc. Family Medicine CurrentSince Aug 11, 2020 Accepting new patients

Locations

1490 W Government St
Ste 10
Brandon, MS 39042
Phone (601) 825-1936

1887 Spillway Rd
Brandon, MS 39047
Phone (601) 992-5532

106 Clinton Pkwy
Clinton, MS 39056
Phone (601) 924-9005

151 E Metro Dr
Ste 103
Flowood, MS 39232
Phone (601) 992-3288

102 Lexington Dr
#100
Gluckstadt, MS 39110
Phone (601) 973-1688

1200 N State St
Ste 500
Jackson, MS 39202
Phone (601) 352-2273

1200 N State St
Ste LL10
Jackson, MS 39202
Phone (601) 362-7280

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

6250 Old Canton Rd
Ste 100
Jackson, MS 39211
Phone (601) 957-1015

7275 S Siwell Rd
Jackson, MS 39272
Phone (601) 373-7722

2173 Main St
Madison, MS 39110
Phone (601) 605-3858

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

3011 Greenfield Rd
Pearl, MS 39208
Phone (601) 825-9000

1201 Highway 49 S
Ste 1
Richland, MS 39218
Phone (601) 326-8700

Interoperability endpoints

  • Direct secure messaging: msanders154848@direct.bmhcc.org

Organizations & group practices 2

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": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1184156804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209446",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S PEARSON RD",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392085635",
            "telephone_number": "601-968-1237",
            "fax_number": "601-968-1246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2466 Flowood Dr",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392329019",
            "country_code": "US",
            "telephone_number": "601-815-5700",
            "fax_number": "601-815-5795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Highway 49 S Ste 1",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "MS",
            "postal_code": "392189438",
            "country_code": "US",
            "telephone_number": "601-973-1576",
            "fax_number": "601-664-0055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "MELISSA",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "28032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl, MS

Sources for this page

Verify at the official NPI Registry.