First Intermed Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FIRST INTERMED CORPORATION

Doing business as

Mea Medical Clinics

Practice address

4204 Clay Street
Vicksburg, MS 39183-0000

Phone

(601) 619-7717

NPI assigned

Aug 18, 2011

Organization subpart

No

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

Authorized official

Name

Sam Scott

Title

Cfo

Phone

(601) 898-7525

Specialties & licenses 1

Addresses

Other names 1

• MEA MEDICAL CLINICS Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

First Intermed Corporation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• First Intermed Corporation

  dba MEA Cares

  • Professional Counselor
  • Ridgeland, MS
  • NPI 1255516860
  NPD tax ID
• First Intermed Corporation

  dba Mea Medical Clinics

  • Family Medicine Physician
  • Madison, MS
  • NPI 1275992786
  NPD tax ID
• First Intermed Corporation

  dba MEA Medical Clinics

  • Family Medicine Physician
  • Brandon, MS
  • NPI 1952604811
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1861772105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 CORPORATE DR",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578803",
            "telephone_number": "601-898-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 CLAY STREET",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391830000",
            "telephone_number": "601-619-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST INTERMED CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "601-898-7525"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEA MEDICAL CLINICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fast Pace Mississippi, PLLC
• Marcie Renee Felix, LPN
• Eugene B Ferris, MD
• Brian Kyle Ferriss
• Tulio Figarola
• Cyril Fisher, PTA
• Janet S Fisher, DMD
• Keishondra Surnette Fisher
• Michele Fisher
• Doug Fitzgerald

• Family Medicine Physician in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.