NPIMap

Individual provider Active NPI

Marcus E Meekins, MD

  • Anesthesiology Physician
  • Jackson, TN
National Provider Identifier
1336125285
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A98953 Issued in CA
Practice address
810 W Forest Ave
Jackson, TN 38301-3942
Phone
(731) 668-1853
Fax
(731) 664-7731
NPI assigned
Dec 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 10978 NV
Anesthesiology Physician 207L00000X A98953 CA Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 43477 TN

Addresses

Primary practice location

810 W Forest Ave
Jackson, TN 38301-3942

Mailing address

810 W Forest Ave
Jackson, TN 38301-3942
Phone (731) 668-1853

Other identifiers 2

IdentifierTypeStateIssuer
00A989530MedicaidCA
100505801MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A98953CAMDAnesthesiology Physician
10978NVMDAnesthesiology Physician
43477TNMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Anesthesia Services LLC Anesthesiology Past Accepting new patients
Dodd Hyer, M.D. LTD Anesthesiology Past Accepting new patients
Cardiac Anesthesia Group Pain Medicine PastSince Jun 1, 2001 Accepting new patients
Jackson Anesthesiology Group, PLLC Anesthesiology PastSince Dec 6, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1336125285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 W FOREST AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013942",
            "telephone_number": "731-668-1853",
            "fax_number": "731-664-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W FOREST AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013942",
            "telephone_number": "731-668-1853",
            "fax_number": "731-664-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEKINS",
        "first_name": "MARCUS",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "10978",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A98953",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TN",
            "license": "43477",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A989530",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100505801",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.