Meridian Pediatrics, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MERIDIAN PEDIATRICS, PLLC

Practice address

1400 20TH Ave
Suite a
Meridian, MS 39301-4111

Phone

(601) 553-3645

Fax

(601) 553-3127

NPI assigned

Jun 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Scott Massingill, MDNPI 1336121342

Title

Partner

Phone

(601) 553-3645

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Scott Massingill, M.D.

  • Pediatrics Physician
  • Meridian, MS
  • NPI 1336121342
  NPD (past) Authorized official
• Kenneth J. Reid Jr., M.D.

  • Pediatrics Physician
  • Meridian, MS
  • NPI 1770565798
  NPD (past)

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1356501829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 20TH AVE",
            "address_2": "SUITE A",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014111",
            "telephone_number": "601-553-3645",
            "fax_number": "601-553-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 20TH AVE",
            "address_2": "SUITE A",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014111",
            "telephone_number": "601-553-3645",
            "fax_number": "601-553-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "MASSINGILL",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "601-553-3645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meridian Ophthalmic Associates, P.a.
• Meridian Orthopaedic Clinic, PA
• Meridian Orthopaedic Surgery Center, LLC
• Meridian Pediatric Dental Group, LLC
• Meridian Pediatric Extended Care LLC
• Meridian Plastic Surgery PA
• Meridian Radiology Associates PA
• Meridian Regional Diagnostics Group LLC
• Meridian Sleep Services LLC
• Meridian Speech and Hearing Center, Inc.

• Pediatrics Physician in Meridian, MS
• Providers in Meridian, MS by specialty
• Pediatrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.