Melissa Bryan, CNM
Individual provider Active NPI Advanced Practice Midwife · Meridian, MS
NPI 1699149708 · NPPES record last updated Dec 1, 2015
Key facts
- NPI
- 1699149708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- 899561 (MS)
- Practice address
- 1020 22ND Ave Ste B
Meridian, MS 39301-5001 - Phone
- (601) 703-1003
- NPI assigned
- Dec 1, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Foundation Inc
Practice addresses (Care Compare)
1314 19TH Ave
Meridian, MS 39301-4116
Phone (601) 484-6700
1800 12TH St
Meridian, MS 39301-4158
Phone (601) 484-6700
2401 16TH St
Meridian, MS 39301-3950
Phone (601) 482-4181
Hospital & facility affiliations
- Ochsner Rush Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160125001255 | MS | Practitioner - Certified Nurse Midwife (CNM) | 4587967617 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Foundation, Inc. | Current |
Accepting new patients | |
| Medical Foundation, Inc. | Current |
Accepting new patients |
Locations
2401 16th St
Meridian, MS 39301
Phone (601) 482-4181
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 899561 | MS | Yes |
Addresses
Primary practice location
1020 22ND Ave Ste B
Meridian, MS 39301-5001
Mailing address
1020 22ND Ave Ste B
Meridian, MS 39301-5001
Other providers in Meridian, MS
- Leigh Brown
- Nancy Lynn Brown
- Teresa Brown
- William Lee Brown IV
- Briana Shanee Brunson
- Joe Henry Bryant III
- Marissa Buchanan
- Brandie D Buckley
- Thi Bui
- Building Bridges Association
All providers in Meridian, MS · Advanced Practice Midwife in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.