Individual provider Active NPI

Megan Egbert Slade, F.N.P.

  • Family Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1811244593
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R879924 Issued in MS
Practice address
1860 Chadwick Dr
Suite 256
Jackson, MS 39204-3463
Phone
(601) 375-1394
Fax
(601) 376-2005
NPI assigned
Aug 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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 R879924 MS Primary

Addresses

Primary practice location

1860 Chadwick Dr
Suite 256
Jackson, MS 39204-3463

Mailing address

1860 Chadwick Dr
Suite 256
Jackson, MS 39204-3463
Phone (662) 943-8192

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131021000238 MS Practitioner - Nurse Practitioner 4183859507 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R879924MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
River Oaks Management Company, LLC CurrentSince Jul 16, 2013 Accepting new patients
Mississippi State Hospital at Whitfield Current Accepting new patients
Careplus Lakeview Family Medicine CurrentSince Jul 16, 2013 Accepting new patients
Mississippi State Hospital at Whitfield CurrentSince Mar 23, 2014 Accepting new patients
Reservoir Family Medical Clinic, PA Current Accepting new patients
River Oaks Management Company LLC Current Accepting new patients

Locations

1860 Chadwick Dr
Ste 256
Jackson, MS 39204
Phone (601) 376-1934

3550 Highway 468 W
Whitfield, MS 39193

3550 Highway 468 W
#B60
Whitfield, MS 39193

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7115/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1811244593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 CHADWICK DR",
            "address_2": "SUITE 256",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043463",
            "telephone_number": "662-943-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 CHADWICK DR",
            "address_2": "SUITE 256",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043463",
            "telephone_number": "601-375-1394",
            "fax_number": "601-376-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLADE",
        "first_name": "MEGAN",
        "middle_name": "EGBERT",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R879924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.