Anderson Regional Medical Center
Organization Active NPI Cardiovascular Disease Physician · Meridian, MS
NPI 1972720175 · NPPES record last updated Oct 15, 2025
Key facts
- NPI
- 1972720175
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- ANDERSON REGIONAL MEDICAL CENTER
- Practice address
- 2124 14TH St
Meridian, MS 39301 - Phone
- (601) 703-3480
- Fax
- (601) 703-0124
- NPI assigned
- Apr 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. John Anderson
- Title
- Chief Executive Officer
- Phone
- (601) 553-6000
Owned or controlled facilities with NPI records 8
Other NPIs on the same Medicare enrollment 7
Other NPIs with the same Medicare PAC ID 10
Corporate family (same tax ID) 18
Practitioners 44
-
Wesley S Bennett, M.D
-
John Timothy Boyd, M.D.
-
Ashley D Gray, FNP
-
Aamir Hashmat, M.D.
-
Hannah Johnson, FNP-C
-
Randall Scott Joransen, M.D.
-
Thomas G. Plavac, M.D.
-
Edwin M Purvis, M.D.
-
Robert John Berg, M.D.
-
William A Billups III, M.D.
-
Jason W Coleman, CRNA
-
Stephanie L Cooper, PHD
-
Osasere Kelvin Ero, M.D
-
Colette C Parker, M.D.
-
Deanna I. Price, M.D.
-
Charles R. Purdy, M.D.
-
Muzaffar Rahat, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
All facility ownership & control disclosures 8
| Facility | Type | Role | Since |
|---|---|---|---|
| Anderson Regional Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 1966 Jan 1, 2024 |
| Baptist Anderson Regional Medical Center - South |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Baptist Anderson Tom C. Maynor Rehabilitation Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Baptist Anderson Senior Behavioral Health Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2011 Jan 1, 2001 |
| Baptist Anderson Swing Bed Unit |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2011 |
| Baptist Anderson Family Medical Center- Enterprise |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2011 Jan 1, 2011 |
| Baptist Anderson Children'S Medical Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2011 |
| Baptist Anderson Family Medical Center- Airpark |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2011 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031117000522 | MS | Part B Supplier - Clinic/Group Practice | 4284548025 |
Receives reassigned benefits from 40 practitioners 7 other NPIs on this enrollment Practice locations: Enterprise, MS; Philadelphia, MS; Meridian, MS |
National Provider Directory
- Tax ID family
- Stonewall Family Medica
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | Yes | ||
| Neurology with Special Qualifications in Child Neurology Physician |
2084N0402X |
Addresses
Primary practice location
2124 14TH St
Meridian, MS 39301
Mailing address
2124 14TH St
Meridian, MS 39301-4040
Phone (601) 703-3480
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529908690 | Medicaid | AL | |
| 102585 | Medicaid | AL | |
| 000019046 | Other | MS | BLUE CROSS OF MS |
| 09013082 | Medicaid | MS |
Other names
- BAPTIST ANDERSON PROFESSIONAL FEES-EKG
- Professional Fees-EKG
Other providers in Meridian, MS
- Anderson Regional Medical Center
- Anderson Regional Medical Center
- Anderson Regional Medical Center
- Anderson Regional Medical Center
- Anderson Regional Medical Center
- Erika Anderson
- Sarah D Anderson
- Shawn C Anderson
- Katie Lynn Andreacchio
- Stacy Rae Andreacchio
All providers in Meridian, MS · Cardiovascular Disease Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.