Individual provider Active NPI

Matthew Aaron Ward, D.O.

  • Family Medicine Physician
  • Meridian, MS
National Provider Identifier
1457701864
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T-3254 Issued in MS
Practice address
2514 67TH Avenue Loop
Suite 112
Meridian, MS 39307-7259
Phone
(601) 482-4955
NPI assigned
Jun 16, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X T-3254 MS
Family Medicine Physician 207Q00000X T-3254 MS Primary

Addresses

Primary practice location

2514 67TH Avenue Loop
Suite 112
Meridian, MS 39307-7259

Mailing address

2514 67TH Avenue Loop
Suite 112
Meridian, MS 39307-7259
Phone (601) 482-4955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX2 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
I20181222000053 MS Practitioner - Family Practice 2163767914 Reassigns benefits to 2 organizations
I20250611001902 TX Practitioner - Family Practice 2163767914 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T-3254MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neshoba County General Hospital Current Accepting new patients
Mississippi Band of Choctaw Indians Current Accepting new patients
Mississippi Band of Choctaw Indians CurrentSince Apr 10, 2025 Accepting new patients
Mississippi Band of Choctaw Indians Current Accepting new patients
Neshoba County General Hospital CurrentSince Sep 24, 2019 Accepting new patients
Mississippi Band of Choctaw Indians CurrentSince Apr 10, 2025 Accepting new patients
Neshoba County General Hospital CurrentSince Sep 24, 2019 Accepting new patients
Leake Emergency Group, LLC CurrentSince Jan 1, 2024 Accepting new patients
Mississippi Band of Choctaw Indians Current Accepting new patients

Locations

1100 Highway 16 E
Carthage, MS 39051
Phone (601) 267-1100

1930 N Pearl St
Carthage, MS 39051
Phone (601) 287-6639

210 Hospital Cir
Choctaw, MS 39350
Phone (601) 389-4500

376 Campus Rd
Conehatta, MS 39057
Phone (601) 389-4500

124 Big Creek Cir
Philadelphia, MS 39350
Phone (601) 389-4500

1001 Holland Ave
Philadelphia, MS 39350
Phone (601) 663-1200

Interoperability endpoints

  • Direct secure messaging: matthew.ward.1@18357.direct.athenahealth.com

Organizations & group practices 9

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": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1457701864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 67TH AVENUE LOOP",
            "address_2": "SUITE 112",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393077259",
            "telephone_number": "601-482-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 67TH AVENUE LOOP",
            "address_2": "SUITE 112",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393077259",
            "telephone_number": "601-482-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "MATTHEW",
        "middle_name": "AARON",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MS",
            "license": "T-3254",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "T-3254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.