Individual provider Active NPI

Angela N Meadows, RN, MSN, FNP-BC

  • Family Nurse Practitioner
  • Biloxi, MS
National Provider Identifier
1679815609
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R872973 Issued in MS
Practice address
1720A Medical Park Dr Ste 150
Biloxi, MS 39532-2135
Phone
(228) 392-7429
NPI assigned
Mar 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R872973 MS Primary

Addresses

Primary practice location

1720A Medical Park Dr Ste 150
Biloxi, MS 39532-2135

Mailing address

2101 Highway 90
Gautier, MS 39553-5340

Other identifiers 1

IdentifierTypeStateIssuer
001634855MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140612002043 MS Practitioner - Nurse Practitioner 5092939074 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singing River Health SystemGroup PAC ID 3870405194, 290 clinicians

Practice addresses (Care Compare)

1721 Medical Park Dr
Biloxi, MS 39532-2109
Phone (228) 392-7429

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Family Medical Center Inc. CurrentSince Sep 15, 2018 Accepting new patients
Singing River Gulfport CurrentSince Jul 1, 2023 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Singing River Health System CurrentSince Jul 1, 2023 Accepting new patients
Singing River Gulfport CurrentSince Jul 1, 2023 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Mar 15, 2014 Accepting new patients
Singing River Health System Past Accepting new patients

Locations

921 Cedar Lake Rd
Ste E
Biloxi, MS 39532
Phone (228) 396-3945

1721 Medical Park Dr
Ste 200
Biloxi, MS 39532
Phone (228) 248-2572

1720A Medical Park Dr
Ste 150
Biloxi, MS 39532
Phone (228) 392-7429

1756 Popps Ferry Rd
Ste A
Biloxi, MS 39532
Phone (228) 865-3200

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

5120 Beatline Rd
#A
Long Beach, MS 39560
Phone (228) 868-4287

2 Doctors Dr
Ocean Springs, MS 39564
Phone (228) 372-8270

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1363392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1679815609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 HIGHWAY 90",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720A MEDICAL PARK DR STE 150",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322135",
            "telephone_number": "228-392-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "ANGELA",
        "middle_name": "N",
        "credential": "RN, MSN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-16",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R872973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001634855",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.