Midsouth Integrative Medical, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MIDSOUTH INTEGRATIVE MEDICAL, INC

Practice address

7651 Tchulahoma Rd
Southaven, MS 38671-9227

Phone

(662) 349-0980

Fax

(662) 349-0980

NPI assigned

Jul 1, 2020

Organization subpart

No

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

Authorized official

Name

Meagan Chastant-Qualls, FNPNPI 1215554647

Title

Nurse Practitioner

Phone

(662) 349-0980

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Meagan Duval Chastant-Qualls, FNP

  • Family Medicine Physician
  • Southaven, MS
  • NPI 1215554647
  Medicare reassignment Care Compare group NPD Authorized official
• Molly Luhrs Dunson, RN, FNP-C

  • Family Nurse Practitioner
  • Southaven, MS
  • NPI 1679141204
  Medicare reassignment Care Compare group NPD
• Marcy C Purnell, FNP-C

  • Family Nurse Practitioner
  • Germantown, TN
  • NPI 1932431327
  NPD
• Jennah Suzuko Avery-Morin

  • Family Nurse Practitioner
  • Southaven, MS
  • NPI 1255246831
  NPD (past)
• Trevor Lamar Qualls, D.C.

  • Chiropractor
  • Southaven, MS
  • NPI 1093814170
  NPD (past)
• Tyler Lane Qualls, D.C.

  • Chiropractor
  • Southaven, MS
  • NPI 1154565794
  NPD (past)

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1568089993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7651 TCHULAHOMA RD",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719227",
            "telephone_number": "662-349-0980",
            "fax_number": "662-349-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7651 TCHULAHOMA RD",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719227",
            "telephone_number": "662-349-0980",
            "fax_number": "662-349-0980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1973 Oak Tree Cv",
            "address_purpose": "LOCATION",
            "city": "Hernando",
            "state": "MS",
            "postal_code": "386321536",
            "country_code": "US",
            "telephone_number": "662-349-0980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDSOUTH INTEGRATIVE MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "CHASTANT-QUALLS",
        "authorized_official_first_name": "MEAGAN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "662-349-0980",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid-South Anesthesia Consultants, PLLC
• Mid-South Imaging Center LLC
• Mid-South Orthopedic Hospitalists LLC
• Lindsey Nicole Middleton, NP
• Midsouth Hospitalists, PC
• Midsouth Internal Medicine Physicians, PLLC
• Midsouth Interventional Pain Institute, LLC
• Midsouth Medicine
• Midsouth Pain Treatment Center
• Charity Barringer Milam, C.N.P

• Primary Care Clinic/Center in Southaven, MS
• Providers in Southaven, MS by specialty
• Primary Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.