Individual provider Active NPI

Alexander Meyer, MD

  • Emergency Medicine Physician
  • Southaven, MS
National Provider Identifier
1992383939
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
32247 Issued in MS
Practice address
7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone
(662) 772-4000
NPI assigned
Mar 31, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MS
Emergency Medicine Physician 207P00000X 32247 MS Primary

Addresses

Primary practice location

7601 Southcrest Pkwy
Southaven, MS 38671-4739

Mailing address

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AR, TN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240308001234 MS Practitioner - Emergency Medicine 0840697389 Reassigns benefits to 4 organizations
I20241029003377 AR Practitioner - Emergency Medicine 0840697389 Reassigns benefits to 1 organization
I20250115003482 TN Practitioner - Emergency Medicine 0840697389 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Grenada Emergency Group, LLC Emergency Medicine CurrentSince Jan 16, 2024 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 29, 2024 Accepting new patients
Kings Daughters Medical Center Current Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Aug 16, 2024 Accepting new patients
State of Mississippi-University of Mississippi Medical Center CurrentSince Jul 29, 2024 Accepting new patients
King'S Daughters Medical Center CurrentSince Mar 1, 2024 Accepting new patients
King'S Daughters Medical Center CurrentSince Mar 1, 2024 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients

Locations

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

427 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-6011

960 Avent Dr
Grenada, MS 38901
Phone (662) 227-7000

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 500-1254

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1992383939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 SOUTHCREST PKWY",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714739",
            "telephone_number": "662-772-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 SOUTHCREST PKWY",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714739",
            "telephone_number": "662-772-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-31",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MS",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "32247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.