Individual provider Active NPI

Megan Tucker, FNP-C

  • Family Nurse Practitioner
  • Meridian, MS
National Provider Identifier
1356870141
Registry record updated Jun 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902034 Issued in MS
Practice address
2124 14TH St
Meridian, MS 39301-4040
Phone
(601) 553-6000
NPI assigned
Jun 6, 2017
Last updated
Jun 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 902034 MS Primary

Addresses

Primary practice location

2124 14TH St
Meridian, MS 39301-4040

Mailing address

5 Keith Jeter Rd
Hattiesburg, MS 39401-9263

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
I20170721000693 MS Practitioner - Nurse Practitioner 0547530784 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RH Hospitalist Medicine of Highland Community LLCGroup PAC ID 8022451038, 15 clinicians
RH Hospitalist Medicine of Marion General LLCGroup PAC ID 2567815384, 8 clinicians

Practice addresses (Care Compare)

130 Highland Pkwy
Picayune, MS 39466-5574
Phone (601) 358-9400

1560 Sumrall Rd
Columbia, MS 39429-2654
Phone (601) 736-6303

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Clinics, Inc CurrentSince Oct 23, 2020 Accepting new patients
RH Emergency Medicine of Highland Community LLC CurrentSince Feb 1, 2024 Accepting new patients
Medical Services of Meridian, Inc. CurrentSince Apr 1, 2019 Accepting new patients
Keystone Medical Services of Ms, Inc CurrentSince May 1, 2022 Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Nov 1, 2018 Accepting new patients
South Central Clinics, Inc Current Accepting new patients
RH Hospitalist Medicine of Marion General LLC CurrentSince Jan 27, 2024 Accepting new patients
RH Emergency Medicine of Marion General LLC CurrentSince Jan 27, 2024 Accepting new patients
RH Hospitalist Medicine of Highland Community LLC CurrentSince Feb 1, 2024 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Nov 1, 2018 Accepting new patients
South Central Clinics, Inc CurrentSince Oct 23, 2020 Accepting new patients

Locations

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

1203 B Ave
Ellisville, MS 39437
Phone (601) 477-8553

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

130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

100 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-0455

6075 Poplar Ave
Ste 401
Memphis, TN 38119
Phone (901) 795-3600

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496707200000",
    "number": "1356870141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 KEITH JETER RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394019263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 14TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014040",
            "telephone_number": "601-553-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "MEGAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2017-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.