Organization Active NPI

Mea Primary Care Plus, LLC

  • Family Medicine Physician
  • Clinton, MS
National Provider Identifier
1194200758
Registry record updated Sep 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEA PRIMARY CARE PLUS, LLC
Practice address
498 Highway 80 E
Clinton, MS 39056-4720
Phone
(601) 924-4000
Fax
(601) 924-3360
NPI assigned
Sep 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2018

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

Authorized official

Name
Ashley Buie
Title
Director of Billing
Phone
(601) 898-7530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

498 Highway 80 E
Clinton, MS 39056-4720

Mailing address

498 Highway 80 E
Clinton, MS 39056-4720
Phone (601) 924-4000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1538265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538265600000",
    "number": "1194200758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 HIGHWAY 80 E",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564720",
            "telephone_number": "601-924-4000",
            "fax_number": "601-924-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 HIGHWAY 80 E",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564720",
            "telephone_number": "601-924-4000",
            "fax_number": "601-924-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEA PRIMARY CARE PLUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-30",
        "last_updated": "2018-09-30",
        "status": "A",
        "authorized_official_last_name": "BUIE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "601-898-7530"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.