Individual provider Active NPI

Amanda Deann Ward

  • Psychiatric/Mental Health Nurse Practitioner
  • Meadville, MS
National Provider Identifier
1801524293
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
905492 Issued in MS
Practice address
595 Main St E
Meadville, MS 39653-9233
Phone
(601) 384-3199
Fax
(601) 384-3950
NPI assigned
Aug 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 905492 MS Primary

Addresses

Primary practice location

595 Main St E
Meadville, MS 39653-9233

Mailing address

595 Main St E
Meadville, MS 39653-9233
Phone (601) 384-3199

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
I20230206000310 MS Practitioner - Nurse Practitioner 6608248455 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franklin County Memorial HospitalGroup PAC ID 2466355243, 37 clinicians

Practice addresses (Care Compare)

2110 Hwy 84 E
Meadville, MS 39653-8006

40 Union Church Rd
Meadvile, MS 39653-8336
Phone (601) 384-2273

P O Box
Suite 428
Meadville, MS 39653-0428

PO Box
Suite 636
Meadville, MS 39653

Hospital & facility affiliations

  • Franklin County Memorial Hospital Hospital, Meadville, MS, CCN 251330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
905492MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
Franklin County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Caring Hands Behavioral Health and Wellness LLC CurrentSince Dec 6, 2023 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Oct 21, 2022 Accepting new patients
Franklin County Memorial Hospital CurrentSince Jul 1, 2024 Accepting new patients
State of Mississippi-University of Mississippi Medical Center CurrentSince Oct 21, 2022 Accepting new patients
Franklin County Memorial Hospital CurrentSince Jul 1, 2024 Accepting new patients

Locations

136 Main St N
Bude, MS 39630
Phone (601) 384-2394

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

4400 Old Canton Rd
Ste 3RD
Jackson, MS 39211

40 Union Church Rd
Meadville, MS 39653
Phone (601) 384-2273

595 Main St E
Meadville, MS 39653
Phone (601) 384-3199

29 Second St W
Ste B
Meadville, MS 39653
Phone (601) 393-1953

314 Main St
Ste B
Monticello, MS 39654
Phone (601) 393-1953

Interoperability endpoints

  • Direct secure messaging: amanda.ward.1@29772.direct.athenahealth.com
  • Direct secure messaging: award163813@ummc.direct-ci.com

Organizations & group practices 7

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 1

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": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1801524293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 MAIN ST E",
            "city": "MEADVILLE",
            "state": "MS",
            "postal_code": "396539233",
            "telephone_number": "601-384-3199",
            "fax_number": "601-384-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 MAIN ST E",
            "city": "MEADVILLE",
            "state": "MS",
            "postal_code": "396539233",
            "telephone_number": "601-384-3199",
            "fax_number": "601-384-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "AMANDA",
        "middle_name": "DEANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "905492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, MS

Sources for this page

Verify at the official NPI Registry.