Active NPI
Lawrence Benjamin McEachin, MD
- Dermatology Physician
- Meridian, MS
National Provider Identifier
1871798447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 05464
- Practice address
- 3827 Grandview Ave
Meridian, MS 39305 - Phone
- (601) 485-9875
- NPI assigned
- Jun 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 05464 | MS | Primary |
Addresses
Primary practice location
3827 Grandview Ave
Meridian, MS 39305
Mailing address
PO Box 5203
Meridian, MS 39302
Phone (601) 485-9875
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05464 | MS | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871798447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5203",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "39302",
"telephone_number": "601-485-9875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3827 GRANDVIEW AVE",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "39305",
"telephone_number": "601-485-9875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCEACHIN",
"first_name": "LAWRENCE",
"middle_name": "BENJAMIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MS",
"license": "05464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.