Meridian Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MERIDIAN SURGERY CENTER, LLC

Practice address

2100 13TH St
Meridian, MS 39301-3428

Phone

(601) 485-4443

Fax

(601) 485-9060

NPI assigned

Dec 15, 2005

Organization subpart

No

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

Authorized official

Name

Don Larkin Kennedy

Title

Ceo

Phone

(601) 703-9614

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Listed as

Meridian Surgery Center LLCCCN 25C0001047

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Meridian Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Meridian Surgery Center

  • Ambulatory Fertility Facility
  • Meridian, MS
  • NPI 1366833717
  NPD tax ID

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Rush Medical Foundation

  • Medicare Defined Swing Bed Hospital Unit
  • Quitman, MS
  • NPI 1477670966

  Member Of

  NPD member
• Ochsner Pharmacy and Wellness, LLC

  • Clinic Pharmacy
  • New Orleans, LA
  • NPI 1518073824

  Member Of

  NPD member

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hans Hunt Tulip, MD

  • Surgery Physician
  • Meridian, MS
  • NPI 1639309925
  NPD
• Leslie B. Gray, M.D.

  • Vascular Surgery Physician
  • Meridian, MS
  • NPI 1295727766
  NPD (past)

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1184600736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 13TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013428",
            "telephone_number": "601-485-4443",
            "fax_number": "601-485-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 13TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013428",
            "telephone_number": "601-485-4443",
            "fax_number": "601-485-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "LARKIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-703-9614"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07430842",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MS",
            "identifier": "000050715",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meridian Radiology Associates PA
• Meridian Regional Diagnostics Group LLC
• Meridian Sleep Services LLC
• Meridian Speech and Hearing Center, Inc.
• Meridian Surgery Center
• Meridian Weight Management Center
• Jean A Merrell, LPC
• Veronica Denise Merritt
• Dana Mesley
• Cynthia F. Messer, CNM

• Ambulatory Surgical Clinic/Center in Meridian, MS
• Providers in Meridian, MS by specialty
• Ambulatory Surgical Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.