Organization Active NPI

First Intermed Corporation

Doing business as MEA Medical Clinics

  • Family Medicine Physician
  • Byram, MS
National Provider Identifier
1275567281
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FIRST INTERMED CORPORATION
Doing business as
MEA Medical Clinics
Practice address
7300 S Siwell Rd
Byram, MS 39272-9772
Phone
(601) 373-1234
Fax
(601) 373-1397
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Sam Scott
Title
Cfo
Phone
(601) 898-7525

Specialties & licenses 1

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

Addresses

Primary practice location

7300 S Siwell Rd
Byram, MS 39272-9772

Mailing address

7300 S Siwell Rd
Byram, MS 39272-9772
Phone (601) 373-1234

Other identifiers 2

IdentifierTypeStateIssuer
CH7891OtherMSRAILROAD MEDICARE
09015301MedicaidMS

Other names 1

  • MEA Medical Clinics Doing business as

National Provider Directory

National Provider Directory

Locations

7300 S Siwell Rd
#9760
Byram, MS 39272

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1275567281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 S SIWELL RD",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392729772",
            "telephone_number": "601-373-1234",
            "fax_number": "601-373-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 S SIWELL RD",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392729772",
            "telephone_number": "601-373-1234",
            "fax_number": "601-373-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST INTERMED CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "601-898-7525"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH7891",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015301",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEA Medical Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Byram, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.