Individual provider Active NPI

Ernest Addo Donkor, MD

  • Pediatrics Physician
  • Meridian, MS
National Provider Identifier
1477829315
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
21856 Issued in MS
Practice address
2701 Davis St
Meridian, MS 39301-5708
Phone
(601) 693-0118
Fax
(844) 778-8922
NPI assigned
Mar 26, 2012
Last updated
May 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 21856 MS Primary

Addresses

Primary practice location

2701 Davis St
Meridian, MS 39301-5708

Mailing address

2701 Davis St
Meridian, MS 39301-5708
Phone (601) 693-0118

Other identifiers 1

IdentifierTypeStateIssuer
007824302MedicaidMS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130424000723 MS Practitioner - Pediatric Medicine 4385880004 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Meridian Health Clinic, Inc CurrentSince Feb 18, 2013 Accepting new patients
Greater Meridian Health Clinic, Inc. CurrentSince Feb 18, 2013 Accepting new patients
Greater Meridian Health Clinic, Inc. Current Accepting new patients
Greater Meridian Health Clinic, Inc. Past Accepting new patients

Locations

201 Birch St
De Kalb, MS 39328
Phone (601) 743-2642

2701 Davis St
Meridian, MS 39301
Phone (601) 693-0118

511 Academy Rd
Starkville, MS 39759
Phone (662) 323-2911

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJDBBA

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1477829315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 DAVIS ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393015708",
            "telephone_number": "601-693-0118",
            "fax_number": "601-553-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 DAVIS ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393015708",
            "telephone_number": "601-693-0118",
            "fax_number": "844-778-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONKOR",
        "first_name": "ERNEST",
        "middle_name": "ADDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-26",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "21856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007824302",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.