Bonita Emergency Group, LLC
Organization Active NPI Emergency Medicine Physician · Meridian, MS
NPI 1992563969 · NPPES record last updated Mar 13, 2024
Key facts
- NPI
- 1992563969
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- BONITA EMERGENCY GROUP, LLC
- Practice address
- 1314 19TH Ave
Meridian, MS 39301-4116 - Phone
- (601) 483-0011
- Fax
- (601) 483-4384
- NPI assigned
- Mar 13, 2024
- Organization subpart
- No
Authorized official
- Name
- Lisha C Falk
- Title
- VP of Contracting
- Phone
- (337) 609-1221
Practitioners 41
-
Bret A Boes, M.D.
-
Martin Wayne Carr, FNP
-
Andrew Daughton Chambers, FNP-BC
-
Tiffany Dearman, FNP
-
Charles H Emrick, NP
-
Marion C. Linton, FNP
-
Linus Martin, M.D.
-
Alisha L Miller, FNP
-
Erin Leigh Mills, AG-ACNP, DNP
-
Bobbie Evans Mooney, APRN
-
Kari Moore, FNP
-
Cindy Renee' Quinn, FNP-C
-
Sheena Secrist, FNP-BC
-
Jamie M Thrash, FNP-C
-
Shannon Creel Weathers, FNP-C
-
Kristi Leigh Dreyer, D.O.
-
Kim Alison Guidry, FNP-C
-
Patrick James Kirkland, M.D.
-
Kara Nowell, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240502001459 | MS | Part B Supplier - Clinic/Group Practice | 3870933278 |
Receives reassigned benefits from 41 practitioners Practice locations: Meridian, MS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
1314 19TH Ave
Meridian, MS 39301-4116
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other providers in Meridian, MS
- Jennifer Bohl
- Cody Boland
- Katherine Kate Bolden
- Lekesha Boler
- Shannen Bondy
- Kaitlyn Nicole Bonner
- Sarah Cecelia Bonner
- Baleigh N Booker
- A Gary Boone
- Gabrielle Boone
All providers in Meridian, MS · Emergency Medicine 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 Mar 13, 2024. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.