Individual provider Active NPI

Niyokia Antwanette Meacham, FNP

  • Family Nurse Practitioner
  • Atoka, TN
National Provider Identifier
1366050957
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN27994 Issued in TN
Practice address
11630 Highway 51 S
Atoka, TN 38004-7129
Phone
(901) 837-5020
NPI assigned
Jul 20, 2020
Last updated
Jul 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F06202655 TN
Family Nurse Practitioner 363LF0000X APN27994 TN Primary

Addresses

Primary practice location

11630 Highway 51 S
Atoka, TN 38004-7129

Mailing address

PO Box 932958
Cleveland, OH 44193-0028
Phone (901) 837-5020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20210122001487 TN Practitioner - Nurse Practitioner 5193139749 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Tennessee LLCGroup PAC ID 4688762800, 132 clinicians

Practice addresses (Care Compare)

11630 Hwy 51 S
Atoka, TN 38004-7129
Phone (901) 837-5020

3481 Austin Peay Hwy
Memphis, TN 38128-3801
Phone (901) 701-2570

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06202655TNMDNurse Practitioner
APN27994TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Tennessee LLC Family CurrentSince Dec 30, 2020 Accepting new patients
Christ Community Health Services Inc CurrentSince Jan 9, 2023 Accepting new patients
Christ Community Health Services Inc CurrentSince Jan 9, 2023 Accepting new patients
Christ Community Health Services Inc Past Accepting new patients

Locations

11630 Highway 51 S
Atoka, TN 38004
Phone (901) 837-5010

2569 Douglass Ave
Memphis, TN 38114
Phone (901) 271-6200

2861 Broad Ave
Memphis, TN 38112
Phone (901) 260-8500

3362 S 3rd St
Memphis, TN 38109
Phone (901) 271-6300

3481 Austin Peay Hwy
Memphis, TN 38128
Phone (901) 701-2570

5366 Mendenhall Mall
Memphis, TN 38115
Phone (901) 271-6100

969 Frayser Blvd
Memphis, TN 38127
Phone (901) 260-8400

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

Interoperability endpoints

  • Direct secure messaging: niyokia.meacham@krogerhealth.eclinicaldirectplus.com

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": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1366050957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028",
            "telephone_number": "901-837-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 HIGHWAY 51 S",
            "city": "ATOKA",
            "state": "TN",
            "postal_code": "380047129",
            "telephone_number": "901-837-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEACHAM",
        "first_name": "NIYOKIA",
        "middle_name": "ANTWANETTE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "F06202655",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN27994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atoka, TN

Sources for this page

Verify at the official NPI Registry.