First Intermed Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FIRST INTERMED CORPORATION

Doing business as

MEA Medical Clinics

Practice address

1515 Jefferson St
Laurel, MS 39440-4244

Phone

(601) 425-4893

Fax

(601) 428-8633

NPI assigned

Jul 10, 2006

Last updated

Feb 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sam Scott

Title

Cfo

Phone

(601) 898-7535

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MEA Medical Clinics Doing business as

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1407880404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 JEFFERSON ST",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404244",
            "telephone_number": "601-425-4893",
            "fax_number": "601-428-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 JEFFERSON ST",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404244",
            "telephone_number": "601-425-4893",
            "fax_number": "601-428-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST INTERMED CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "601-898-7535"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015301",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH0373",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEA Medical Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• FDC of Laurel LLC (Family Dental Center of Laurel)
• James Keith Fisher, MD
• Leslie Ann Fisher, FNP-C
• Sonja Flournoy, CMHT
• Debbie S Flowers, FNP
• Ashley Floyd, WHNP

• Family Medicine Physician in Laurel, MS
• Providers in Laurel, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.