Active NPI
Linda Mary Dales, MD
- Endocrinology, Diabetes & Metabolism Physician
- Meridian, MS
National Provider Identifier
1366498677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 21644
- Practice address
- 1516 23Rd Ave
Meridian, MS 39301-4026 - Phone
- (601) 703-3820
- Fax
- (601) 703-0125
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 200000203 | NC | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 30413 | SC | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 21644 | MS | Primary |
Addresses
Primary practice location
1516 23Rd Ave
Meridian, MS 39301-4026
Mailing address
1516 23Rd Ave
Meridian, MS 39301-4026
Phone (601) 703-3820
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 304138 | Medicaid | SC | |
| P00326699 | Other | NC | RAILROAD MEDICARE |
| 00358088 | Medicaid | MS | |
| 12700 | Other | NC | BCBSNC |
| 8912700 | Medicaid | NC | |
| GP4505 | Medicaid | SC | |
| 188453 | Other | NC | MEDCOST |
| 2119923 | Other | NC | CIGNA HEALTHCARE |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21644 | MS | MD | Endocrinology, Diabetes & Metabolism Physician |
| 200000203 | NC | MD | Endocrinology, Diabetes & Metabolism Physician |
| 30413 | SC | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maria Parham Nephrology & Hypertension | Past | Accepting new patients | |
| Maria Parham Anesthesia and Physiatry Center, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Henderson, NC
- NPI 1558435388
-
- Nephrology Physician
- Henderson, NC
- NPI 1679705875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352678400000",
"number": "1366498677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 23RD AVE",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014026",
"telephone_number": "601-703-3820",
"fax_number": "601-703-0125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1516 23RD AVE",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014026",
"telephone_number": "601-703-3820",
"fax_number": "601-703-0125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALES",
"first_name": "LINDA",
"middle_name": "MARY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2012-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NC",
"license": "200000203",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "SC",
"license": "30413",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MS",
"license": "21644",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "304138",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00326699",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00358088",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "12700",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8912700",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4505",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "188453",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "2119923",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.