Active NPI
Chasity Michelle Cockerham, FNP-C
- Family Nurse Practitioner
- Meridian, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 905903
- Practice address
- 1600 22ND Ave FL 3
Meridian, MS 39301-3223 - Phone
- (601) 693-1055
- Fax
- (601) 482-5312
- NPI assigned
- Mar 6, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 905903 | MS | Primary |
Addresses
Primary practice location
1600 22ND Ave FL 3
Meridian, MS 39301-3223
Mailing address
350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (901) 226-4003
Other practice location 1
1102 Constitution Ave
Meridian, MS 39301-4001
Phone (601) 703-5000
Other practice location 2
2124 14th St
Meridian, MS 39301-4040
Phone (601) 553-6000
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230727003403 | MS | Practitioner - Nurse Practitioner | 5890156517 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 905903 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neshoba County General Hospital | Current | Accepting new patients | |
| Neshoba County General Hospital | Current | Accepting new patients | |
| Neshoba County General Hospital | Current | Accepting new patients | |
| Bear Creek Emergency Group LLC | Current | Accepting new patients | |
| Urology Clinic of Meridian, P.a. | Current | Accepting new patients | |
| Anderson Physician Alliance, Inc. | Current | Accepting new patients | |
| Neshoba County General Hospital | Current | Accepting new patients | |
| Medical Services of Meridian, Inc. | Current | Accepting new patients |
Locations
1102 Constitution Ave
Meridian, MS 39301
Phone (601) 693-2511
2124 14th St
Meridian, MS 39301
Phone (601) 483-8811
1600 22nd Ave
#3
Meridian, MS 39301
Phone (601) 693-1055
1600 22nd Ave
Meridian, MS 39301
Phone (601) 483-5322
1001 Holland Ave
Philadelphia, MS 39350
Phone (601) 663-1200
1002 Saint Francis Dr
Philadelphia, MS 39350
Phone (601) 663-1200
4728 Spottswood Ave
Memphis, TN 38117
Phone (901) 203-0080
Organizations & group practices 13
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.
-
- Certified Registered Nurse Anesthetist
- Philadelphia, MS
- NPI 1114057247
MS
-
- Critical Access Hospital
- Philadelphia, MS
- NPI 1083659734
-
- Rural Health Clinic/Center
- Philadelphia, MS
- NPI 1003834979
-
- Rural Health Clinic/Center
- Philadelphia, MS
- NPI 1528295532
-
- Psychiatric Hospital Unit
- Philadelphia, MS
- NPI 1669507364
-
- Medicare Defined Swing Bed Hospital Unit
- Philadelphia, MS
- NPI 1750416459
-
- Skilled Nursing Facility
- Philadelphia, MS
- NPI 1841325545
-
- Emergency Medical Services (Emergency Medicine) Physician
- Philadelphia, MS
- NPI 1003946138
-
- Clinic/Center
- Philadelphia, MS
- NPI 1023620135
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Neshoba County General HospitalBear Creek Emergency Group LLC
Practice addresses (Care Compare)
1001 Holland Ave
Philadelphia, MS 39350-2161
Phone (601) 663-1200
2124 14TH St
Meridian, MS 39301-4040
Phone (601) 553-6000
Hospital & facility affiliations
- Anderson Regional Medical Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1902506355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 N HUMPHREYS BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202177",
"telephone_number": "901-226-4003",
"fax_number": "901-227-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 22ND AVE FL 3",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393013223",
"telephone_number": "601-693-1055",
"fax_number": "601-482-5312"
}
],
"practiceLocations": [
{
"address_1": "1102 Constitution Ave",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "MS",
"postal_code": "393014001",
"country_code": "US",
"telephone_number": "601-703-5000",
"fax_number": "601-703-0124",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2124 14th St",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "MS",
"postal_code": "393014040",
"country_code": "US",
"telephone_number": "601-553-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COCKERHAM",
"first_name": "CHASITY",
"middle_name": "MICHELLE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-06",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "905903",
"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 Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.