Erica Clanahan
Individual provider Active NPI Family Nurse Practitioner · Meridian, MS
NPI 1831619626 · NPPES record last updated Mar 11, 2025
Key facts
- NPI
- 1831619626
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 902002 (MS)
- Practice address
- 1523 22ND Ave Ste B
Meridian, MS 39301-4016 - Phone
- (601) 703-8450
- Fax
- (601) 553-6308
- NPI assigned
- Jun 22, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anderson Regional Medical Center
Practice addresses (Care Compare)
1523 22ND Ave
Suite B
Meridian, MS 39301-4016
Phone (601) 703-8450
Hospital & facility affiliations
- Deaconess Homecare- Region I
- Anderson Regional Medical Center
- Ochsner Rush Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181130002263 | MS | Practitioner - Nurse Practitioner | 7719221779 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 902002 | MS | MD | Family Nurse Practitioner |
| 1-112196 | MS | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Regional Medical Center | Current |
Accepting new patients | |
| Anderson Regional Medical Center | Current |
Accepting new patients | |
| Anderson Regional Medical Center | Past | Accepting new patients |
Locations
2124 14th St
Meridian, MS 39301
Phone (601) 483-8811
1523 22nd Ave
#B
Meridian, MS 39301
Phone (601) 483-0039
1514 23rd Ave
Meridian, MS 39301
Phone (601) 531-3969
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 1-112196 | MS | |
| Family Nurse Practitioner | 363LF0000X | 902002 | MS | Yes |
Addresses
Primary practice location
1523 22ND Ave Ste B
Meridian, MS 39301-4016
Mailing address
965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Phone (877) 348-1281
Other practice location 1
2124 14th St
Meridian, MS 39301-4040
Phone (601) 553-6000
Other providers in Meridian, MS
- Sandra Cheeks
- Joanie Chesnutt
- Children'S Clinic of Meridian
- Kelsie Rae Chisolm
- Ciclops Telepathology LLC
- Amber Clanton
- Claripath Counseling and Consulting LLC
- Clark Chiropractic Clinic PA
- Grady Mims Clark Jr.
- James Eugene Clark
All providers in Meridian, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.