Active NPI
Metelecare
- Primary Care Clinic/Center
- Ridgeland, MS
National Provider Identifier
1821702713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- METELECARE
- Practice address
- 270 Trace Colony Park Dr Ste B
Ridgeland, MS 39157-8810 - Phone
- (601) 208-0678
- Fax
- (219) 300-5911
- NPI assigned
- Jan 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monyetta Everett
- Title
- Founder
- Phone
- (601) 410-1695
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
270 Trace Colony Park Dr Ste B
Ridgeland, MS 39157-8810
Mailing address
1910 Madison Ave # 2638
Memphis, TN 38104-2620
Phone (601) 208-0678
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760486400000",
"number": "1821702713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 MADISON AVE # 2638",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381042620",
"telephone_number": "601-208-0678",
"fax_number": "219-300-5911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 TRACE COLONY PARK DR STE B",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391578810",
"telephone_number": "601-208-0678",
"fax_number": "219-300-5911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METELECARE",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-06",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A",
"authorized_official_last_name": "EVERETT",
"authorized_official_first_name": "MONYETTA",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "601-410-1695"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.