Individual provider Active NPI

Meagan McNeil McCoy

  • Physician Assistant
  • Greenville, MS
National Provider Identifier
1316445273
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00359 Issued in MS
Practice address
1400 E Union St
Greenville, MS 38703-3246
Phone
(662) 334-2000
NPI assigned
Jan 25, 2018
Last updated
Jan 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00359 MS Primary

Addresses

Primary practice location

1400 E Union St
Greenville, MS 38703-3246

Mailing address

213 W Percy St
Indianola, MS 38751-2124

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180326000102 MS Practitioner - Physician Assistant 2668734096 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta Health Center, Inc.Group PAC ID 6608783295, 16 clinicians

Practice addresses (Care Compare)

702 Martin Luther King St
Mound Bayou, MS 38762-9314
Phone (662) 741-8871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00359MSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Mar 1, 2018 Accepting new patients
Delta Health Center, Inc. CurrentSince Oct 19, 2022 Accepting new patients
State of Mississippi-University of Mississippi Medical Center CurrentSince Mar 1, 2018 Accepting new patients
Delta Physician Practices Past Accepting new patients
Delta Health Center, Inc. Past Accepting new patients

Locations

965 Avent Dr
Ste 100A
Grenada, MS 38901
Phone (662) 227-7000

702 Mlk St
Mound Bayou, MS 38762
Phone (662) 741-2151

20400 Highway 61
Rolling Fork, MS 39159
Phone (662) 741-2151

Interoperability endpoints

  • Direct secure messaging: meagan.mccoy.p1@direct.deltahc.nextgenshare.com
  • Direct secure messaging: mmccoy368559@direct.bmhcc.org

Organizations & group practices 9

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": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1316445273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 W PERCY ST",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E UNION ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387033246",
            "telephone_number": "662-334-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "MEAGAN",
        "middle_name": "MCNEIL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PA00359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MS

Sources for this page

Verify at the official NPI Registry.