Individual provider Active NPI

Charles Benjamin Meeks, D.O.

  • Pediatrics Physician
  • Ripley, MS
National Provider Identifier
1699900159
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
21971 Issued in MS
Practice address
118 Hospital St
Meeks Pediatrics
Ripley, MS 38663-0001
Phone
(662) 993-9255
NPI assigned
May 27, 2009
Last updated
Jul 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 21971 MS Primary

Addresses

Primary practice location

118 Hospital St
Meeks Pediatrics
Ripley, MS 38663-0001

Mailing address

109 Farmington Rd
Ripley, MS 38663-7011
Phone (662) 750-0344

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121029000607 MS Practitioner - Pediatric Medicine 4082864079 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medcial Center, Inc. CurrentSince Mar 24, 2021 Accepting new patients
North Mississippi Medical Center, Inc. CurrentSince Mar 24, 2021 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
Amory Surgery Clinic, PLLC Past Accepting new patients
North Mississippi Medical Center, Inc. Past Accepting new patients
Meeks Pediatrics Pediatrics Past Accepting new patients

Locations

1573 Medical Park Cir
Tupelo, MS 38801
Phone (662) 844-9885

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

Interoperability endpoints

  • Direct secure messaging: charlesmeeks@nmhs.medalliesdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1699900159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 FARMINGTON RD",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386637011",
            "telephone_number": "662-750-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 HOSPITAL ST",
            "address_2": "MEEKS PEDIATRICS",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386630001",
            "telephone_number": "662-993-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEKS",
        "first_name": "CHARLES",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-27",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "21971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, MS

Sources for this page

Verify at the official NPI Registry.