Active NPI
Cindy R. Patrick, FNP-C
- Family Nurse Practitioner
- Meridian, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 850743
- Practice address
- 2124 14TH St
Meridian, MS 39301-4040 - Phone
- (601) 553-6466
- Fax
- (601) 553-6072
- NPI assigned
- Sep 10, 2013
- Last updated
- Oct 22, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 850743 | MS | Primary |
Addresses
Primary practice location
2124 14TH St
Meridian, MS 39301-4040
Mailing address
PO Box 749215
Atlanta, GA 30374-9215
Phone (901) 226-3186
Other practice location 1
1100 17th Ave
Meridian, MS 39301-4219
Phone (601) 703-1465
Other practice location 2
2024 15th St Fl 2
Meridian, MS 39301-4130
Phone (601) 553-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02850756 | Medicaid | MS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2024 15TH St
FL 2
Meridian, MS 39301-4130
Phone (601) 553-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 850743 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meridian Medical Associates, PA | Current | Accepting new patients | |
| Anderson Physician Alliance, Inc. | Current | Accepting new patients | |
| Urology Clinic of Meridian, P.a. | Current | Accepting new patients | |
| Trustcare Primary Care, LLC | Past | Accepting new patients |
Locations
1100 17th Ave
Meridian, MS 39301
Phone (601) 703-1465
1600 22nd Ave
Meridian, MS 39301
Phone (601) 483-5322
2024 15th St
Fl 2
Meridian, MS 39301
Phone (601) 553-2000
2124 14th St
Meridian, MS 39301
Phone (601) 483-8811
2124 14th St
Slp Ctr
Meridian, MS 39301
Phone (601) 553-6466
605 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-6925
Interoperability endpoints
- cpatrick626708@direct.bmhcc.org
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.
-
dba Baptist Medical Group-Anderson Physician Alliance
- Multi-Specialty Clinic/Center
- Meridian, MS
- NPI 1760798227
-
- Internal Medicine Physician
- Meridian, MS
- NPI 1316051766
-
- Urology Physician
- Meridian, MS
- NPI 1912088295
-
dba TrustCare Health, LLC
- Family Medicine Physician
- Madison, MS
- NPI 1174078554
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Anderson Regional Medical Center
- General Acute Care Hospital
- Meridian, MS
- NPI 1649226952
-
dba Ochsner Watkins Hospital
- Critical Access Hospital
- Quitman, MS
- NPI 1912079625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1366877268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749215",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303749215",
"telephone_number": "901-226-3186"
},
{
"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": "601-553-6466",
"fax_number": "601-553-6072"
}
],
"practiceLocations": [
{
"address_1": "1100 17th Ave",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "MS",
"postal_code": "393014219",
"country_code": "US",
"telephone_number": "601-703-1465",
"fax_number": "601-703-1467",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2024 15th St Fl 2",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "MS",
"postal_code": "393014130",
"country_code": "US",
"telephone_number": "601-553-2000",
"fax_number": "601-553-6856",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATRICK",
"first_name": "CINDY",
"middle_name": "R.",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-10",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "850743",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02850756",
"state": "MS"
}
],
"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 Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.