Active NPI
Braxton Kye Meeks, FNP
- Family Nurse Practitioner
- Iuka, MS
National Provider Identifier
1922822501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 907818
- Practice address
- 1507 W Quitman St
Iuka, MS 38852-1133 - Phone
- (662) 432-1000
- Fax
- (662) 432-1316
- NPI assigned
- Nov 11, 2024
- Last updated
- Oct 3, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 | 907818 | MS | Primary |
Addresses
Primary practice location
1507 W Quitman St
Iuka, MS 38852-1133
Mailing address
171 Road 1445
Mooreville, MS 38857-8008
Phone (662) 416-7035
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1507 W Quitman St
Iuka, MS 38852-1132
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 907818 | MS | MD | Family Nurse Practitioner |
Organizations & group practices 1
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 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tishomingo Co Hospital
- General Acute Care Hospital
- Iuka, MS
- NPI 1548376700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759449600000",
"number": "1922822501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 ROAD 1445",
"city": "MOOREVILLE",
"state": "MS",
"postal_code": "388578008",
"telephone_number": "662-416-7035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 W QUITMAN ST",
"city": "IUKA",
"state": "MS",
"postal_code": "388521133",
"telephone_number": "662-432-1000",
"fax_number": "662-432-1316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEEKS",
"first_name": "BRAXTON",
"middle_name": "KYE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-11",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "907818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Iuka, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.