Individual provider Active NPI

Janet Sue Meckley, MD

  • Family Medicine Physician
  • Richmond, IN
National Provider Identifier
1821058256
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01041137 Issued in IN
Practice address
535 W Eaton Pike
State Line Family Medicine
Richmond, IN 47374-2641
Phone
(765) 935-8862
Fax
(765) 935-8863
NPI assigned
Mar 28, 2006
Last updated
May 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01041137 IN Primary

Addresses

Primary practice location

535 W Eaton Pike
State Line Family Medicine
Richmond, IN 47374-2641

Mailing address

1100 Reid Pkwy
Medical Staff Services
Richmond, IN 47374-1157
Phone (765) 935-8862

Other identifiers 2

IdentifierTypeStateIssuer
000000938984OtherINANTHEM
100389350MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmeckley301150@ReidHealth.direct-ci.com Reid Physician Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040722001264 IN Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Hospitalist 4486634185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
University of Toledo College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians

Practice addresses (Care Compare)

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3122

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01041137INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Physician Associates, Inc. CurrentSince Jun 15, 2015 Accepting new patients
Reid Physician Associates, Inc CurrentSince Jun 15, 2015 Accepting new patients
Reid Hospital & Health Care Services, Inc PastSince Jan 1, 2015 Accepting new patients
Richmond Family Care Center, P.C. Family Medicine Past Accepting new patients
Reid Hospital & Health Care Services, Inc Past Accepting new patients
Reid Hospital & Health Care Services Inc Family Medicine Past Accepting new patients

Locations

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

535 W Eaton Pike
Richmond, IN 47374
Phone (765) 935-8862

795 Sim Hodgin Pkwy
Richmond, IN 47374
Phone (765) 966-5949

Interoperability endpoints

  • Direct secure messaging: jmeckley301150@reidhealth.direct-ci.com

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.

Hospital & facility affiliations 3

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1821058256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-935-8862",
            "fax_number": "765-935-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 W EATON PIKE",
            "address_2": "STATE LINE FAMILY MEDICINE",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473742641",
            "telephone_number": "765-935-8862",
            "fax_number": "765-935-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECKLEY",
        "first_name": "JANET",
        "middle_name": "SUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01041137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000938984",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100389350",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmeckley301150@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "535 W Eaton Pike",
            "address_2": "State Line Family Medicine",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473742641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.