Active NPI
Megan Egbert Slade, F.N.P.
- Family Nurse Practitioner
- Jackson, MS
National Provider Identifier
1811244593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R879924
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| R879924 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Oaks Management Company, LLC | Current | Accepting new patients | |
| Mississippi State Hospital at Whitfield | Current | Accepting new patients | |
| Careplus Lakeview Family Medicine | Current | Accepting new patients | |
| Mississippi State Hospital at Whitfield | Current | 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
- 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.