Mea Primary Care Plus, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MEA PRIMARY CARE PLUS, LLC

Practice address

4204 Clay St
Vicksburg, MS 39183-3438

Phone

(601) 619-7717

NPI assigned

Sep 30, 2018

Last updated

Sep 30, 2018By 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

Ashley Buie

Title

Director of Billing

Phone

(601) 898-7530

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1538265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538265600000",
    "number": "1649755208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 CLAY ST",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391833438",
            "telephone_number": "601-619-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 CLAY ST",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391833438",
            "telephone_number": "601-619-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEA PRIMARY CARE PLUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-30",
        "last_updated": "2018-09-30",
        "status": "A",
        "authorized_official_last_name": "BUIE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "601-898-7530"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Simone McNair
• Jocelyn McNeal
• Marlon McNemar
• Michael J McReynolds, CRNA
• MDB Behavioral Health Services LLC (Complete Care Rural Health Clinic)
• Cynthia Meadious
• John Willey Measells Jr., DMD
• Medical Associates of Vicksburg PLLC
• Medically Heard LLC
• Maegan H Meeks, RN

• Family Medicine Physician in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2018; 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.