Individual provider Active NPI

Deanna I. Price, M.D.

  • Pediatrics Physician
  • Meridian, MS
National Provider Identifier
1295717817
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
17472 Issued in MS
Practice address
1600 22ND Ave FL 3
Meridian, MS 39301-3223
Phone
(601) 703-8370
NPI assigned
Nov 18, 2005
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 17472 MS Primary

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 3

IdentifierTypeStateIssuer
P00043868OtherRAILROAD MEDICARE
730-09959OtherBLUE CROSS OF AL
03533875MedicaidMS

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
I20130813000363 MS Practitioner - Pediatric Medicine 5092957571 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Regional Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Anderson Regional Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Anderson Regional Medical Center Current Accepting new patients
Anderson Physician Alliance, Inc. PastSince Sep 29, 2024 Accepting new patients

Locations

1102 Constitution Ave
Meridian, MS 39301
Phone (601) 693-2511

1523 22nd Ave
#B
Meridian, MS 39301
Phone (601) 483-0039

1600 22nd Ave
#3
Meridian, MS 39301
Phone (601) 693-1055

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1295717817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749215",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749215",
            "telephone_number": "901-226-3186",
            "fax_number": "901-226-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 22ND AVE FL 3",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013223",
            "telephone_number": "601-703-8370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1523 22nd Ave",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014016",
            "country_code": "US",
            "telephone_number": "601-703-8370",
            "fax_number": "855-320-7336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "DEANNA",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "17472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00043868",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF AL",
            "identifier": "730-09959",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03533875",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.