Organization Active NPI

Meridian Hma Inc

Doing business as Riley Womens Health Center

  • Obstetrics & Gynecology Physician
  • Meridian, MS
National Provider Identifier
1609934058
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
12249 Issued in MS
Legal business name
MERIDIAN HMA INC
Doing business as
Riley Womens Health Center
Practice address
1020 22ND Avenue
Ste a
Meridian, MS 39301
Phone
(601) 692-2220
Fax
(601) 692-2234
NPI assigned
Dec 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kerry R Tirman
Title
Ceo Cheif Executive Officer
Phone
(601) 484-3590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 12249 MS Primary

Addresses

Primary practice location

1020 22ND Avenue
Ste a
Meridian, MS 39301

Mailing address

1020 22ND Avenue
Ste a
Meridian, MS 39301
Phone (601) 692-2220

Other identifiers 1

IdentifierTypeStateIssuer
09016173MedicaidMS

Other names 1

  • Riley Womens Health Center Doing business as

National Provider Directory

National Provider Directory

Locations

1020 22nd Ave
Ste A
Meridian, MS 39301
Phone (601) 692-2220

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609934058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 22ND AVENUE",
            "address_2": "STE A",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "39301",
            "telephone_number": "601-692-2220",
            "fax_number": "601-692-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 22ND AVENUE",
            "address_2": "STE A",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "39301",
            "telephone_number": "601-692-2220",
            "fax_number": "601-692-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN HMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIRMAN",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "601-484-3590",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "12249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09016173",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riley Womens Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.