Individual provider Active NPI

Ronnye Dale Purvis

  • Obstetrics & Gynecology Physician
  • Meridian, MS
National Provider Identifier
1851495295
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
12273 Issued in MS
Practice address
2420 11TH Street
Meridian, MS 39301
Phone
(601) 485-8974
Fax
(601) 483-6129
NPI assigned
Sep 7, 2006
Last updated
Jan 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 12273 MS Primary

Addresses

Primary practice location

2420 11TH Street
Meridian, MS 39301

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Phone (601) 485-8974

Other identifiers 1

IdentifierTypeStateIssuer
00118517MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040903000602 MS Practitioner - Obstetrics/Gynecology 8628044344 Reassigns benefits to 2 organizations
I20170207001434 TX Practitioner - Obstetrics/Gynecology 8628044344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Wisconsin School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anderson Physician Alliance IncGroup PAC ID 3274727318, 69 clinicians

Practice addresses (Care Compare)

1600 22ND Ave
Meridian, MS 39301-3223
Phone (601) 483-5322

2124 14TH St
Meridian, MS 39301-4040
Phone (601) 553-6000

2420 11TH St
Meridian, MS 39301-5033
Phone (601) 485-8974

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Mississippi, P.C. Obstetrics & Gynecology CurrentSince Jan 8, 2025 Accepting new patients
Mississippi Band of Choctaw Indians CurrentSince Dec 21, 2016 Accepting new patients
Mississippi Band of Choctaw Indians CurrentSince Dec 21, 2016 Accepting new patients
Anderson Physician Alliance, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Mississippi Band of Choctaw Indians Current Accepting new patients
Urology Clinic of Meridian, P.a. Current Accepting new patients
Anderson Regional Medical Center Past Accepting new patients

Locations

210 Hospital Cir
Choctaw, MS 39350
Phone (601) 389-4500

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

1600 22nd Ave
Meridian, MS 39301
Phone (601) 483-5322

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

2420 11th St
Meridian, MS 39301
Phone (601) 485-8974

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

Interoperability endpoints

  • Direct secure messaging: rpurvis626083@direct.bmhcc.org

Organizations & group practices 7

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 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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1851495295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401",
            "telephone_number": "601-485-8974",
            "fax_number": "601-483-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 11TH STREET",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "39301",
            "telephone_number": "601-485-8974",
            "fax_number": "601-483-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURVIS",
        "first_name": "RONNYE",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "12273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118517",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.