NPIMap

Organization Active NPI

Meridian Radiology Associates PA

  • Diagnostic Radiology Physician
  • Meridian, MS
National Provider Identifier
1235238965
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MERIDIAN RADIOLOGY ASSOCIATES PA
Practice address
1203 24TH Ave
Meridian, MS 39301-3926
Phone
(601) 693-5862
Fax
(601) 693-9314
NPI assigned
Sep 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles A Ray III, M.D.NPI 1558342279
Title
Treasurer
Phone
(601) 693-5862

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

1203 24TH Ave
Meridian, MS 39301-3926

Mailing address

1203 24TH Ave
Meridian, MS 39301-3926
Phone (601) 693-5862

Other identifiers 1

IdentifierTypeStateIssuer
09013747MedicaidMS

National Provider Directory

National Provider Directory

Locations

1203 24th Ave
Meridian, MS 39301
Phone (601) 693-5843

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235238965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 24TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013926",
            "telephone_number": "601-693-5862",
            "fax_number": "601-693-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 24TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013926",
            "telephone_number": "601-693-5862",
            "fax_number": "601-693-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN RADIOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "601-693-5862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09013747",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.