Individual provider Active NPI

Meseret Teferra

  • Family Medicine Physician
  • Brandon, MS
National Provider Identifier
1205875143
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19108 Issued in MS
Practice address
1551 W Government St
Brandon, MS 39042-2408
Phone
(601) 825-7280
Fax
(601) 825-8130
NPI assigned
Jun 6, 2006
Last updated
Oct 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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 19108 MS Primary

Addresses

Primary practice location

1551 W Government St
Brandon, MS 39042-2408

Mailing address

PO Box 24116
Jackson, MS 39225-4116
Phone (601) 362-5321

Other identifiers 1

IdentifierTypeStateIssuer
02378381MedicaidMS

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
I20060131000308 MS Practitioner - Internal MedicinePractitioner - Pediatric Medicine 5890709703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Meharry Medical College School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Care Clinic IncGroup PAC ID 5395656946, 30 clinicians

Practice addresses (Care Compare)

1551 W Government St
Brandon, MS 39042-2408
Phone (601) 825-3163

290 Hwy 51 N
Brookhaven, MS 39601-2654
Phone (601) 823-1710

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care Clinic, Inc. CurrentSince Jul 6, 2011 Accepting new patients
Family Health Care Clinic, Inc. Current Accepting new patients
Family Health Care Clinic, Inc. CurrentSince Jul 6, 2011 Accepting new patients
Family Health Care Clinic, Inc Past Accepting new patients

Locations

1551 W Government St
Brandon, MS 39042
Phone (601) 825-3163

290 Highway 51 N
Brookhaven, MS 39601
Phone (601) 823-1710

4635 Highway 80 E
Pearl, MS 39208
Phone (601) 933-2500

Interoperability endpoints

  • Direct secure messaging: meseret.teferra@fhcc.eclinicaldirectplus.com

Organizations & group practices 4

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 4

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1205875143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24116",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392254116",
            "telephone_number": "601-362-5321",
            "fax_number": "601-364-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 W GOVERNMENT ST",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422408",
            "telephone_number": "601-825-7280",
            "fax_number": "601-825-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEFERRA",
        "first_name": "MESERET",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "19108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02378381",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

Verify at the official NPI Registry.