Meridian Weight Management Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

17693 Issued in MS

Legal business name

MERIDIAN WEIGHT MANAGEMENT CENTER

Practice address

1715 23Rd Ave
Meridian, MS 39301-3104

Phone

(601) 696-6736

Fax

(601) 696-6778

NPI assigned

Oct 24, 2013

Organization subpart

No

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

Authorized official

Name

David E Bonner, RN

Title

Vice-President

Phone

(601) 696-6736

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1952739229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 23RD AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013104",
            "telephone_number": "601-696-6736",
            "fax_number": "601-696-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 23RD AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013104",
            "telephone_number": "601-696-6736",
            "fax_number": "601-696-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN WEIGHT MANAGEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "601-696-6736",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MS",
            "license": "17693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009933895",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "73012009",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "930002774",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00755091",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00071956",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Veronica Denise Merritt
• Dana Mesley
• Cynthia F. Messer, CNM
• Metro Discount Dental Clinic (Metro Family Dental Care, P.A.)

• Clinic/Center in Meridian, MS
• Providers in Meridian, MS by specialty
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.