The Free Clinic of Meridian, Inc.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

THE FREE CLINIC OF MERIDIAN, INC.

Practice address

4707 Poplar Springs Dr
Meridian, MS 39305-2622

Phone

(601) 286-5551

Fax

(601) 286-5548

NPI assigned

Feb 12, 2019

Last updated

Feb 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Lee Valentine, DO

Title

Medical Director

Phone

(601) 286-5551

Specialties & licenses 1

Addresses

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 2

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.

• Stephanie Mayer, FNP-C

  • Family Nurse Practitioner
  • Meridian, MS
  • NPI 1154003069
  NPD (past)
• Kathy M. Pendergrass, PHD, CFNP

  • Family Nurse Practitioner
  • Meridian, MS
  • NPI 1952483588
  NPD (past)

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1649736950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3924",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393033924",
            "telephone_number": "601-286-5551",
            "fax_number": "601-286-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 POPLAR SPRINGS DR",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393052622",
            "telephone_number": "601-286-5551",
            "fax_number": "601-286-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FREE CLINIC OF MERIDIAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "601-286-5551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Greggory Tharp
• The Clarkdale Clinic, LLC
• The Columbus Orthopaedic Clinic, P.a.
• The Columbus Orthopaedic Clinic, P.a.
• The Counselor's Cabin PLLC
• The Medical Store, Inc.
• The Pharmacy of Meridian
• Jasmine Thedford
• Shana Thedford, RO
• Theta Home Health Care Inc (Rotech)

• Adult Medicine Physician in Meridian, MS
• Providers in Meridian, MS by specialty
• Adult Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.