Organization Active NPI

First Intermed Corporation

Doing business as MEA Medical Clinics

  • Family Medicine Physician
  • Madison, MS
National Provider Identifier
1437183431
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FIRST INTERMED CORPORATION
Doing business as
MEA Medical Clinics
Practice address
935 Highway 51
Madison, MS 39110-8407
Phone
(601) 856-5986
Fax
(601) 853-2321
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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) 898-7525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MS Primary

Addresses

Primary practice location

935 Highway 51
Madison, MS 39110-8407

Mailing address

935 Highway 51
Madison, MS 39110-8407
Phone (601) 856-5986

Other identifiers 2

IdentifierTypeStateIssuer
CH0704OtherMSRAILROAD MEDICARE
09015301MedicaidMS

Other names 1

  • MEA Medical Clinics Doing business as

National Provider Directory

National Provider Directory

Locations

984 Highway 51
#9760
Madison, MS 39110
Phone (601) 856-5986

308 Corporate Dr
#9760
Ridgeland, MS 39157

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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": "1437183431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 HIGHWAY 51",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108407",
            "telephone_number": "601-856-5986",
            "fax_number": "601-853-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 HIGHWAY 51",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108407",
            "telephone_number": "601-856-5986",
            "fax_number": "601-853-2321"
        }
    ],
    "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": "601-898-7525"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH0704",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015301",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEA Medical Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, MS

Sources for this page

  • 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.