Meagan Duval Chastant-Qualls, FNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

CHAS-Q9QY9E Issued in MS

Practice address

7651 Tchulahoma Rd
Southaven, MS 38671-9227

Phone

(662) 349-0980

Fax

(662) 349-0990

NPI assigned

Jul 1, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Midsouth Integrative Medical IncGroup PAC ID 6800206806, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGFDCD/Endpoint/BGFDCD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midsouth Integrative Medical, Inc

  • Primary Care Clinic/Center
  • Southaven, MS
  • NPI 1568089993

  MS

  Medicare reassignment Care Compare group NPD Authorized official
• Mississippi Upper Cervical Clinic, Inc

  • Chiropractor
  • Southaven, MS
  • NPI 1346318797
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1578527172

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1215554647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7651 TCHULAHOMA RD",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719227",
            "telephone_number": "662-349-0980",
            "fax_number": "662-349-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7651 TCHULAHOMA RD",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719227",
            "telephone_number": "662-349-0980",
            "fax_number": "662-349-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASTANT-QUALLS",
        "first_name": "MEAGAN",
        "middle_name": "DUVAL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "CHAS-Q9QY9E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ki M Chang, MD
• Changing Life at Home Ms LLC
• Louis R Chanin, DO
• Saraka Chapman, NP
• Justin Nathaniel Augustus Charles, PHARMD
• Sufiyan H Chaudhry, MD
• Claye W Childers, PTA
• Shaunder Chillis, RN
• Chiropractic Wellness Centre, PLLC
• Ashley B Chittenden, CPNP-AC/PC

• All providers in Southaven, MS
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.

Verify at the official NPI Registry.