Terry Ann Meadows, DO

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

10554 Issued in MS

Practice address

330 North Broad St
Forest, MS 39074

Phone

(601) 469-4151

Fax

(601) 469-3681

NPI assigned

May 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

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.

• Family Health Center, Inc

  • Clinic/Center
  • Laurel, MS
  • NPI 1760488357
  Medicare reassignment NPD
• Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Ellisville, MS
  • NPI 1083255087
  NPD
• Simpson Community Healthcare, Inc.

  dba Simpson General Hospital

  • Critical Access Hospital
  • Mendenhall, MS
  • NPI 1144339839
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1487866158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 K & B LANE",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "39111",
            "telephone_number": "601-469-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 NORTH BROAD ST",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "39074",
            "telephone_number": "601-469-4151",
            "fax_number": "601-469-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "TERRY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MS",
            "license": "10554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010446",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylin McCree, SLP
• Megan Elizabeth McDaniel, FNP
• Johana Lizeth McDonald, PHARMD
• Lawonna McDonald
• Tyler McIntosh, PHARMD
• Medicomp, Inc. (Forest Physical Therapy)
• Heather Miles
• Mississippi Eye LLC
• Mississippi State Department of Health
• Mississippi State Department of Health (East Central Home Health Agency 6A)

• Federally Qualified Health Center (FQHC) in Forest, MS
• Providers in Forest, MS by specialty
• Federally Qualified Health Center (FQHC) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.