Individual provider Active NPI

Melissa R Stephens, M.D.

  • Family Medicine Physician
  • Meridian, MS
National Provider Identifier
1871544205
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22278 Issued in MS
Practice address
905C S Frontage Rd
Meridian, MS 39301-6113
Phone
(601) 482-4922
Fax
(601) 482-4957
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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 22278 MS Primary

Addresses

Primary practice location

905C S Frontage Rd
Meridian, MS 39301-6113

Mailing address

905C S Frontage Rd
Meridian, MS 39301-6113
Phone (601) 482-4922

Other practice location 1

710 William Carey Pkwy
Hattiesburg, MS 39401-7842
Phone (601) 318-6069

Other names 1

  • Dr. Melissa Renee Cady Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20130116000405 MS Practitioner - Family Practice 6901878107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.18 of 100Reported as group
Quality
78.43
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rush Medical Foundation Family Medicine Current Accepting new patients
Rush Medical Foundation Family Medicine CurrentSince Jun 1, 2023 Accepting new patients
Rush Medical Foundation CurrentSince Jun 1, 2023 Accepting new patients
Goppert - Trinity Family Care, LLC Family Medicine Past Accepting new patients

Locations

905C S Frontage Rd
Meridian, MS 39301
Phone (601) 482-4955

603 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-2123

605 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-6925

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1871544205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905C S FRONTAGE RD",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393016113",
            "telephone_number": "601-482-4922",
            "fax_number": "601-482-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905C S FRONTAGE RD",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393016113",
            "telephone_number": "601-482-4922",
            "fax_number": "601-482-4957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 William Carey Pkwy",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394017842",
            "country_code": "US",
            "telephone_number": "601-318-6069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "MELISSA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "22278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "CADY",
            "middle_name": "RENEE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.