Organization Active NPI

Mea Primary Care Plus LLC

  • Family Medicine Physician
  • Flowood, MS
National Provider Identifier
1972270692
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEA PRIMARY CARE PLUS LLC
Practice address
2050 Treetops Blvd
Flowood, MS 39232-7612
Phone
(601) 898-7530
NPI assigned
Aug 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Ashley Buie
Title
Director of Billing
Phone
(601) 898-7530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2050 Treetops Blvd
Flowood, MS 39232-7612

Mailing address

308 Corporate Dr
Ridgeland, MS 39157-8803
Phone (601) 898-7530

National Provider Directory

National Provider Directory

Locations

106 Lake Vista Pl
Brandon, MS 39047
Phone (601) 898-7575

4204 Clay St
Vicksburg, MS 39183
Phone (601) 200-4560

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1972270692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 CORPORATE DR",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578803",
            "telephone_number": "601-898-7530",
            "fax_number": "601-898-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 TREETOPS BLVD",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327612",
            "telephone_number": "601-898-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEA PRIMARY CARE PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "BUIE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "601-898-7530"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.