Deanna I. Price, M.D.
Individual provider Active NPI Pediatrics Physician · Meridian, MS
NPI 1295717817 · NPPES record last updated Sep 23, 2024
Key facts
- NPI
- 1295717817
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 17472 (MS)
- Practice address
- 1600 22ND Ave FL 3
Meridian, MS 39301-3223 - Phone
- (601) 703-8370
- NPI assigned
- Nov 18, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130813000363 | MS | Practitioner - Pediatric Medicine | 5092957571 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17472 | MS | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Regional Medical Center | Current |
Accepting new patients | |
| Anderson Regional Medical Center | Current |
Accepting new patients | |
| Anderson Regional Medical Center | Current | Accepting new patients | |
| Anderson Regional Medical Center | Past | Accepting new patients | |
| Anderson Physician Alliance, Inc. | Past |
Accepting new patients |
Locations
1102 Constitution Ave
Meridian, MS 39301
Phone (601) 693-2511
2124 14th St
Meridian, MS 39301
Phone (601) 483-8811
1600 22nd Ave
#3
Meridian, MS 39301
Phone (601) 693-1055
1523 22nd Ave
#B
Meridian, MS 39301
Phone (601) 483-0039
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 17472 | MS | Yes |
Addresses
Primary practice location
1600 22ND Ave FL 3
Meridian, MS 39301-3223
Mailing address
PO Box 749215
Atlanta, GA 30374-9215
Phone (901) 226-3186
Other practice location 1
1523 22nd Ave
Suite B
Meridian, MS 39301-4016
Phone (601) 703-8370
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00043868 | Other | RAILROAD MEDICARE | |
| 03533875 | Medicaid | MS | |
| 730-09959 | Other | BLUE CROSS OF AL |
Other providers in Meridian, MS
- Porchia Powe
- Wayne Powell
- Precious Hands Home Care Agency, LLC
- Precision Lab LLP
- Premier Laboratories of Ms
- Martin L Price
- Primary Eyecare & Optical of Meridian, P.a.
- Primary Eyecare South LLC
- Primary Medical Services LLC
- Ana Ecaterina Primeaux
All providers in Meridian, MS · Pediatrics Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.