Active NPI
Melissa E Sanders, DO
- Family Medicine Physician
- Pearl, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 28032
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
- Mississippi Homecare of Jackson
- Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson
- Mississippi Baptist Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.38 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 28032 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Foundation of Central Ms | Family Medicine | Current | Accepting new patients |
| Medical Foundation of Central Mississippi, Inc. | Family Medicine | Current | 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
- 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.
-
dba Baptist Medical Clinics
- Internal Medicine Physician
- Jackson, MS
- NPI 1992774814
Family Medicine
-
dba Baptist Medical Clinic-Brandon
- Family Medicine Physician
- Brandon, MS
- NPI 1114264264
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
-
dba Mississippi HomeCare / Jackson
- Home Health Agency
- Jackson, MS
- NPI 1730373275
-
dba AccentCare Home Health of Jackson
- Home Health Agency
- Clinton, MS
- NPI 1356482749
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
- Christopher Richard Roy, PTA
- Jonathan David Sadler, DO
- Sams East Inc (Sams Pharmacy 10-4790)
- Lucius F Sams III, MD
- Eurekia C Samuel, NP
- Russell William Schulte, LPC
- Scooter Store-Jackson LLC (The SCOOTER Store/Alliance Seating & Mobility)
- Karen Edwards Seago, NP
- Serenity Counseling & Wellness, Inc
- Meredith Selman Sheffield, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.