Individual provider Active NPI

Christina L Meador, FNP

  • Nurse Practitioner
  • Carriere, MS
National Provider Identifier
1477541514
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R853339 Issued in MS
Practice address
6941 Highway 11 Ste a
Carriere, MS 39426-7794
Phone
(601) 749-3776
Fax
(601) 749-3748
NPI assigned
Oct 12, 2005
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R853339 MS Primary
Family Nurse Practitioner 363LF0000X 853339 MS

Addresses

Primary practice location

6941 Highway 11 Ste a
Carriere, MS 39426-7794

Mailing address

415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 749-3776

Other identifiers 1

IdentifierTypeStateIssuer
00125831MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmeador40796@directpatientrecord.com Health Information Exchange (HIE)

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050421001375 MS Practitioner - Nurse Practitioner 7719925536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hattiesburg Clinic PAGroup PAC ID 5193706794, 525 clinicians

Practice addresses (Care Compare)

415 S 28TH Ave
Hattiesburg Clinic Department of Nephrology
Hattiesburg, MS 39401-7246
Phone (601) 264-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R853339MSMDNurse Practitioner
853339MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hattiesburg Clinic PA CurrentSince Jun 23, 2014 Accepting new patients
Hattiesburg Clinic, PA CurrentSince Jun 23, 2014 Accepting new patients

Locations

6941 Highway 11
Ste A
Carriere, MS 39426
Phone (601) 749-3714

415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606

1407 S Main St
Poplarville, MS 39470
Phone (601) 795-0659

Interoperability endpoints

  • Direct secure messaging: cmeador40796@directpatientrecord.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1477541514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017246",
            "telephone_number": "601-749-3776",
            "fax_number": "601-749-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6941 HIGHWAY 11 STE A",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394267794",
            "telephone_number": "601-749-3776",
            "fax_number": "601-749-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOR",
        "first_name": "CHRISTINA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R853339",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "853339",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00125831",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmeador40796@directpatientrecord.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6941 Highway 11 Ste A",
            "city": "Carriere",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394267794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carriere, MS

Sources for this page

Verify at the official NPI Registry.