Active NPI
Meta H Anderson, FNP-C
- Family Nurse Practitioner
- Mound Bayou, MS
National Provider Identifier
1477090728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 901947
- Practice address
- 702 Martin Luther King St
Pob 900
Mound Bayou, MS 38762-9314 - Phone
- (662) 741-2151
- NPI assigned
- Jan 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 901947 | MS | Primary |
Addresses
Primary practice location
702 Martin Luther King St
Pob 900
Mound Bayou, MS 38762-9314
Mailing address
702 Martin Luther King St
Pob 900
Mound Bayou, MS 38762-9314
Phone (662) 741-2151
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171121002982 | MS | Practitioner - Nurse Practitioner | 9335413236 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care at the Pointe, PLLC | Current | Accepting new patients | |
| Shaw Family Medical, LLC | Family | Current | Accepting new patients |
| Shaw Family Medical, LLC | Current | Accepting new patients |
Locations
100 Highway 8 W
Ste 101
Aberdeen, MS 39730
Phone (662) 304-5014
Interoperability endpoints
- meta.anderson.1@23901.direct.athenahealth.com
Organizations & group practices 3
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": "1485302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1477090728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 MARTIN LUTHER KING ST",
"address_2": "POB 900",
"city": "MOUND BAYOU",
"state": "MS",
"postal_code": "387629314",
"telephone_number": "662-741-2151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 MARTIN LUTHER KING ST",
"address_2": "POB 900",
"city": "MOUND BAYOU",
"state": "MS",
"postal_code": "387629314",
"telephone_number": "662-741-2151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "META",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-25",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "901947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mound Bayou, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.