Individual provider Active NPI

Richard A. Nance, D.O.

  • Family Medicine Physician
  • Meridian, MS
National Provider Identifier
1447232863
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18046 Issued in MS
Practice address
4331 Highway 39 N
Meridian, MS 39301-1007
Phone
(601) 484-6180
Fax
(601) 482-0944
NPI assigned
Nov 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18046 MS Primary

Addresses

Primary practice location

4331 Highway 39 N
Meridian, MS 39301-1007

Mailing address

PO Box 2106
Meridian, MS 39302-2106
Phone (601) 703-4282

Other identifiers 1

IdentifierTypeStateIssuer
09757030MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040930000469 MS Practitioner - Family PracticePractitioner - Cardiovascular Disease (Cardiology) 3375512999 Reassigns benefits to 2 organizations
I20150702002635 AL Practitioner - Family Practice 3375512999 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rush Medical Foundation Family Medicine CurrentSince Apr 21, 2016 Accepting new patients
Laird Hospital, Inc. CurrentSince Apr 1, 2013 Accepting new patients
Rush Medical Foundation CurrentSince Apr 21, 2016 Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Apr 14, 2015 Accepting new patients
Laird Hospital, Inc. CurrentSince Apr 1, 2013 Accepting new patients
Rush Medical Foundation Family Medicine Current Accepting new patients
American Family Care, LLC CurrentSince Apr 14, 2015 Accepting new patients
Rural Medical Associates, Inc. Past Accepting new patients

Locations

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

9097 Collinsville Rd
Collinsville, MS 39325
Phone (601) 626-8874

14365 Highway 16 W
De Kalb, MS 39328
Phone (769) 486-1000

14884 Highway 15
Decatur, MS 39327
Phone (601) 635-2258

1710 14th St
Meridian, MS 39301
Phone (601) 482-9211

1106 Central Dr
#1
Philadelphia, MS 39350
Phone (601) 650-9664

603 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-2123

605 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-6925

25117 Highway 15
Union, MS 39365
Phone (601) 774-8214

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1132444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1447232863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2106",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393022106",
            "telephone_number": "601-703-4282",
            "fax_number": "601-703-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4331 HIGHWAY 39 N",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393011007",
            "telephone_number": "601-484-6180",
            "fax_number": "601-482-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANCE",
        "first_name": "RICHARD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-20",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "18046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09757030",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.