Individual provider Active NPI

Meghan Sandidge Peterson, CFNP

  • Family Nurse Practitioner
  • Bentonia, MS
National Provider Identifier
1811260540
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R879604 Issued in MS
Practice address
108 Four Lane Highway 49
Bentonia, MS 39040-9433
Phone
(601) 992-9790
Fax
(601) 992-9796
NPI assigned
Feb 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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 R879604 MS Primary

Addresses

Primary practice location

108 Four Lane Highway 49
Bentonia, MS 39040-9433

Mailing address

7048 Old Canton Rd
Ridgeland, MS 39157-1008
Phone (601) 992-9790

Other names 1

  • Meghan Elizabeth Sandidge Former name

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
I20120820000673 MS Practitioner - Nurse Practitioner 0547417941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Medical Consultants LLCGroup PAC ID 9830496314, 19 clinicians

Practice addresses (Care Compare)

108 Four Lane Hwy 49
Bentonia, MS 39040-9433
Phone (662) 998-8900

Hospital & facility affiliations

  • Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson Home health agency, Clinton, MS, CCN 257102
  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R879604MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Medical Consultants LLC CurrentSince Jan 1, 2026 Accepting new patients
John R Smyer MD PLLC PastSince Jul 26, 2010 Accepting new patients
Och Regional Health Clinic Past Accepting new patients
Trustcare Primary Care, LLC Past Accepting new patients

Locations

108 Four LN Hwy 49
Bentonia, MS 39040
Phone (662) 998-8900

108 Four LN Hwy 49
Bentonia, MS 39040
Phone (601) 992-9790

7048 Old Canton Rd
Ste 2E
Ridgeland, MS 39157
Phone (601) 919-0972

Organizations & group practices 4

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 2

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": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1811260540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7048 OLD CANTON RD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571008",
            "telephone_number": "601-992-9790",
            "fax_number": "601-992-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 FOUR LANE HIGHWAY 49",
            "city": "BENTONIA",
            "state": "MS",
            "postal_code": "390409433",
            "telephone_number": "601-992-9790",
            "fax_number": "601-992-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MEGHAN",
        "middle_name": "SANDIDGE",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-10",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R879604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "SANDIDGE",
            "middle_name": "ELIZABETH",
            "credential": "CFNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bentonia, MS

Sources for this page

Verify at the official NPI Registry.